Male Death Registration: Year: 1971 number: 3959
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003959
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Davis, Harry Armand
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Summerville, Queens County
9. DATE OF BIRTH 12 17, 1926
10. AGE in Years44 Months5 Days29 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Saw Operator
13. Date last worked July 1970 14. Total years
15. If married name of spouse Verna Elizabeth Davis
16. NAME of Father Arthur Davis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mildred Davis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Armand Davis
address Box 306, Liverpool, NS
Relationship to deceased Wife
21. Place of burial Brooklyn, Queens Co., NS
Date of burial June 18, 1971
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1971
CAUSE OF DEATH
(a) Astrocytoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496035
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