Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dollard LeRoy James death at Dartmouth, Halifax County on September 26, 1971
Male Death Registration: Year: 1971 number: 5768
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005768
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED James, Dollard LeRoy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 5 19, 1913
10. AGE in Years58 Months4 Days7 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George James
17. BIRTHPLACE Dartmouth
18. NAME of Mother Hilda
19. BIRTHPLACE Dartmouth
20. Signature of Informant Mrs. Ross
address Lake Loon
Relationship to deceased Landlady
21. Place of burial Mount Harmon
Date of burial 29 September 1971
22. Undertaker J. Albert Walker & Sons, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1971
CAUSE OF DEATH
(a) Myocarditis with failure
(b)
(c)
other
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