Male Death Registration: Year: 1971 number: 5562
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005562
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Evans, David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Grand Bank Nfld
9. DATE OF BIRTH 7 12, 1890
10. AGE in Years81 Months2 Days3 | hrs or mins
11. Trade or profession retired stock manager
12. Kind of industry Imperial Oil
13. Date last worked 1955 14. Total years 23 yrs
15. If married name of spouse Mary Ann Evans
16. NAME of Father William Evans
17. BIRTHPLACE Nfld
18. NAME of Mother
19. BIRTHPLACE Nfld
20. Signature of Informant Mrs. Jean Snow
address 2472 John St. Halifax
Relationship to deceased daughter
21. Place of burial Hillcrest Gardens, Lower Sackville, NS
Date of burial Sept 17, 1971
22. Undertaker Cruickshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 15, 1971
CAUSE OF DEATH
(a) myocardial infarction
(b) Arteriosclerosis
(c)
other Hypothyroidism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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