Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Stampton death at Mahone Bay, Lunenburg County on May 29, 1971
Male Death Registration: Year: 1971 number: 3703
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003703
1. PLACE OF DEATH County of Lunenburg If in City or Town Mahone Bay
If death occured in a hospital or institution Mahone Nursing Home
3. PRINT NAME OF DECEASED Stampton, David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 12 4, 1910
10. AGE in Years60 Months5 Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Sea Captain
13. Date last worked 1968 14. Total years 20 yrs
15. If married name of spouse Cynthia Stampton
16. NAME of Father Henrey Stampton
17. BIRTHPLACE England
18. NAME of Mother Harriette Holand
19. BIRTHPLACE England
20. Signature of Informant Cynthia Stampton
address 6224 Shirley St, Halifax
Relationship to deceased Wife
21. Place of burial Fernhill Crematorium, St. John, NB
Date of burial June 2, 1971
22. Undertaker Mahone Funeral Services, Mahone Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Brain Trauma due to Accident years ago.
(c)
other
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