Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Levi A Coldwell death at Halifax, Halifax County on July 25, 1971
Male Death Registration: Year: 1971 number: 4613
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004613
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital, Halifax
3. PRINT NAME OF DECEASED Coldwell, Levi A
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 6, 1895
10. AGE in Years75 Months8 Days19 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 1966 14. Total years 48
15. If married name of spouse
16. NAME of Father Frederick Coldwell
17. BIRTHPLACE NS
18. NAME of Mother Ermina Downie
19. BIRTHPLACE NS
20. Signature of Informant Lewis H. Coldwell
address Hantsport
Relationship to deceased Brother
21. Place of burial Riverbank Cemetery, Hantsport
Date of burial July 28, 1971
22. Undertaker Lohnes Funeral Service Ltd., Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1971
CAUSE OF DEATH
(a) Septicemia
(b) Pyelitis
(c)
other
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