Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Heber John Simmons death at Halifax, Halifax County on July 12, 1971
Male Death Registration: Year: 1971 number: 4322
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004322
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax, NS
3. PRINT NAME OF DECEASED Simmons, Heber John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE St. John's, Nfld
9. DATE OF BIRTH 9 10, 1902
10. AGE in Years68 Months10 Days2 | hrs or mins
11. Trade or profession Retired Mechanic
12. Kind of industry
13. Date last worked 1968 14. Total years 40
15. If married name of spouse Ellen Downing
16. NAME of Father Levi Simmons
17. BIRTHPLACE Nfld
18. NAME of Mother Mary Parsons
19. BIRTHPLACE Nfld
20. Signature of Informant Mrs. Ellen Simmons
address Apt 30, St. Luke's Cottages, Topsail Road, St. John's, Nfld
Relationship to deceased Wife
21. Place of burial St. John's, Nfld
Date of burial July 16, 1971
22. Undertaker R. D. Lindsay Funeral Home, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 12, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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