Male Death Registration: Year: 1971 number: 6611
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006611
1. PLACE OF DEATH County of Colchester If in City or Town Tatamagouche
3. PRINT NAME OF DECEASED Davies, David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Wales
7. Single, Married
single
8. BIRTHPLACE Wales
9. DATE OF BIRTH 8 5, 1888
10. AGE in Years83 Months3 Days14 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1961 14. Total years lifetime
15. If married name of spouse
16. NAME of Father David Davies
17. BIRTHPLACE Wales
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Douglas Cunningham
address Tatamagouche
Relationship to deceased no relation
21. Place of burial Pine Grove, East Stewiacke Cemetery
Date of burial Nov 21, 1971
22. Undertaker Harry R Bonnyman, Tatamagouche, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498684
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