Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Susan Olive Davis death at Wilmot, Annapolis County on May 17, 1971
Female Death Registration: Year: 1971 number: 3555
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003555
1. PLACE OF DEATH County of Annapolis If in City or Town Wilmot
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Davis, Susan Olive
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 7 17, 1888
10. AGE in Years82 Months10 Days | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked May 17/71 14. Total years Life
15. If married name of spouse Captain Ernest E. Davis
16. NAME of Father George Frederick Collyer
17. BIRTHPLACE England
18. NAME of Mother Susan Hudson
19. BIRTHPLACE England
20. Signature of Informant Capt. E. E. Davis
address Wilmot, Annapolis Co., NS
Relationship to deceased Husband
21. Place of burial Middleton, Anna. Co., NS
Date of burial May 20, 1971
22. Undertaker Warren T. Roop Ltd., Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 17, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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