Male Death Registration: Year: 1971 number: 4325
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004325
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Covert, John Archibald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 11 23, 1906
10. AGE in Years64 Months7 Days19 | hrs or mins
11. Trade or profession Retired
12. Kind of industry NS Light & Power
13. Date last worked Jan. 1971 14. Total years 30 years
15. If married name of spouse Mrs. Edna Covert
16. NAME of Father Walter Covert
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary McCullough
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robert L. Covert
address 172 Maple Dr., Apt 5, Dart.
Relationship to deceased Son
21. Place of burial Mt. Hermon Cemetery, Dart.
Date of burial July 14, 1971
22. Undertaker A. L. Mattatall Funeral Services Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 12, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Cronic Congestive Heart Failure
(c) Hyponatremia - Hypochloremia
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496400
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