Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John William Debay death at Halifax, Halifax County on December 2, 1971
Male Death Registration: Year: 1971 number: 6866
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006866
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Willow Nursing Home
3. PRINT NAME OF DECEASED Debay, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE East Ship Harbour, Halifax County
9. DATE OF BIRTH 4 1, 1882
10. AGE in Years89 Months8 Days1 | 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 John DeBay
17. BIRTHPLACE NS
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Dartmouth Welfare Department
address City of Halifax/Dartmouth
Relationship to deceased
21. Place of burial Mt. Hermon, Dartmouth, NS
Date of burial 6 December 1971
22. Undertaker Mattatall Funeral Home, Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 2, 1971
CAUSE OF DEATH
(a) Acute Broncho Pneumonia
(b) Senility
(c)
other
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