Male Death Registration: Year: 1971 number: 5907
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005907
1. PLACE OF DEATH County of Digby If in City or Town Digby
3. PRINT NAME OF DECEASED Ellis, Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Annapolis County
9. DATE OF BIRTH 12 10, 1897
10. AGE in Years73 Months9 Days17 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry
13. Date last worked 1960 14. Total years
15. If married name of spouse
16. NAME of Father John Ellis
17. BIRTHPLACE NS
18. NAME of Mother Eva
19. BIRTHPLACE NS
20. Signature of Informant Eva Connell (ne. Ellis)
address Digby, NS
Relationship to deceased Niece
21. Place of burial Digby, NS
Date of burial 30 September 1971
22. Undertaker Jayne's Funeral Home Ltd., Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1971
CAUSE OF DEATH
(a) Probably Cardiovascular Accident
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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