Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

David Alan Jackson death at Halifax, Halifax County on December 10, 1971

Male Death Registration: Year: 1971 number: 7136

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007136

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 6387 Summit

3. PRINT NAME OF DECEASED Jackson, David Alan

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Halifax

9. DATE OF BIRTH 11  7, 1945

10. AGE in  Years26  Months1  Days3 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry Dept. of Highways

13. Date last worked October 1971       14. Total years 1 mon

15. If married name of spouse

16. NAME of Father A.R.  Jackson

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Dorthy Rawlings

19. BIRTHPLACE N.B.

20. Signature of Informant A.R. Jackson

      address 6387 Summit St., Halifax

      Relationship to deceased Father

21. Place of burial Fairview, Hfx.

      Date of burial December 13, 1971

22. Undertaker Halifax Funeral Home Limited

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 10, 1971

CAUSE OF DEATH

(a) Bullet wound through head

(b)

(c)

other Mental depression

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499208

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