Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stephen Brian David death at Hammonds Plains, Halifax County on August 21, 1971
Male Death Registration: Year: 1971 number: 5150
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005150
1. PLACE OF DEATH County of Halifax If in City or Town Hammonds Plains
3. PRINT NAME OF DECEASED David, Stephen Brian
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 8 15, 1953
10. AGE in Years18 Months Days6 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ronald David
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elsie Johnsen
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Elsie David
address Hammonds Plains, Halifax Co., NS
Relationship to deceased Mother
21. Place of burial Upper Hammonds Plains
Date of burial Aug 23, 1971
22. Undertaker Lindsay's Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 21, 1971
CAUSE OF DEATH
(a) Fractured Skull
(b)
(c)
other Accident: struck by car
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Note: African Nova Scotian