Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Everard Davis death at Welshtown, Shelburne County on June 26, 1971
Male Death Registration: Year: 1971 number: 4311
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004311
1. PLACE OF DEATH County of Shelburne If in City or Town Welshtown
3. PRINT NAME OF DECEASED Davis, John Everard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 20, 1883
10. AGE in Years87 Months6 Days6 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1968 14. Total years 55
15. If married name of spouse
16. NAME of Father Theo Davis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Clotilda Davis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Stanley Denis
address Welshtown, Shel. Co., NS
Relationship to deceased Brother
21. Place of burial Welshtown, NS
Date of burial June 28, 1971
22. Undertaker H. M. Huskilsons Funeral Home, Shelburne, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1971
CAUSE OF DEATH
(a) Probable Acute Coronary Thrombosis
(b)
(c) Generalized Atherosclerosis
other Chronic Bronchitis
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