Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Elverton Johnson death at Bridgewater, Lunenburg County on September 2, 1971

Male Death Registration: Year: 1971 number: 5289

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005289

1. PLACE OF DEATH   County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital

3. PRINT NAME OF DECEASED Johnson, Elverton

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Westfield

9. DATE OF BIRTH 5  25, 1905

10. AGE in  Years66  Months3  Days8 | hrs or mins

11. Trade or profession Checker-Standard

12. Kind of industry Construction Co.

13. Date last worked Sept.1/71       14. Total years

15. If married name of spouse Annie Belle Johnson

16. NAME of Father Judson E. Johnson

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Mary L. McCully

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Annie Johnson

      address Westfield

      Relationship to deceased Wife

21. Place of burial Westfield, Queens Co.

      Date of burial September 5, 1971

22. Undertaker Chandlers' Funeral Service Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 2, 1971

CAUSE OF DEATH

(a) Cerebrovascular accident

(b) hypertension

(c) arteriosclerosis

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497363

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