Male Death Registration: Year: 1971 number: 6673
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006673
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Nova Scotia Hospital
3. PRINT NAME OF DECEASED Demelo, Joao Leite
4. Sex
Male
5. Citizenship
Portugeese
6. Racial Origin
Portugal
7. Single, Married
widowed
8. BIRTHPLACE Portugal
9. DATE OF BIRTH 5 25, 1898
10. AGE in Years73 Months5 Days27 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Self Employed
13. Date last worked 1968 14. Total years Life
15. If married name of spouse
16. NAME of Father Manuelo De Melo
17. BIRTHPLACE Portugal
18. NAME of Mother N/A N/A
19. BIRTHPLACE N/A
20. Signature of Informant Mr Antonio De Melo
address 2368 Clifton St HFX N.S
Relationship to deceased Son
21. Place of burial Gate of Heaven Cem Lr. Sackville
Date of burial Nov 23/1971
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 21, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Pulmonary Embolism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498746
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