Male Death Registration: Year: 1971 number: 6622
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006622
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Davidson, John Naismith
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Springhill, Cumberland County
9. DATE OF BIRTH 8 1, 1890
10. AGE in Years81 Months3 Days10 | hrs or mins
11. Trade or profession Checkweighman
12. Kind of industry Coal Mining
13. Date last worked 1957 14. Total years 25 years
15. If married name of spouse Susan Richmond
16. NAME of Father Thomas Davidson
17. BIRTHPLACE Scotland
18. NAME of Mother Janet Naismith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John N. Davidson
address 17 Mechanic Street, Springhill, NS
Relationship to deceased Wife
21. Place of burial Springhill, Cumberland Co., NS
Date of burial 14 November 1971
22. Undertaker A. H. Brown Funeral Service Ltd., Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 11, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Bronchitis & Emphysema
(c)
other Prostatic Obstruction & Carcinoma
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498695
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