Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harvey St. Clair Beals death at Cherry Brook, Halifax County on July 20, 1971
Male Death Registration: Year: 1971 number: 4547
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004547
1. PLACE OF DEATH County of Halifax If in City or Town Cherry Brook
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Beals, Harvey St. Clair
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Cherry Brook, Hfx. County
9. DATE OF BIRTH 4 20, 1903
10. AGE in Years68 Months3 Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry Canadian National Railways
13. Date last worked Jan 1966 14. Total years 30 yrs
15. If married name of spouse Kathleen Beals
16. NAME of Father Phillip Beals
17. BIRTHPLACE Cherry Brook, Hfx. Co.
18. NAME of Mother Maude Drummond
19. BIRTHPLACE Cherry Brook, Hfx. Co.
20. Signature of Informant Kathleen M Beals
address Cherry Brook, Hfx. Co. NS
Relationship to deceased wife
21. Place of burial Cherry Brook, Hfx. Co.
Date of burial July 24, 1971
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 20, 1971
CAUSE OF DEATH
(a) Carcinoma Pancreas
(b)
(c)
other
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Note: African Nova Scotian