Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel D Lewis Ross death at Kentville, Kings County on December 12, 1971
Male Death Registration: Year: 1971 number: 7232
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007232
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Blanchard Fraser Memorial Hospital
3. PRINT NAME OF DECEASED Ross, Daniel D Lewis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Preston, Halifax County
9. DATE OF BIRTH 3 13, 1890
10. AGE in Years81 Months8 Days29 | 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 Mary
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Arthur Ross
address Gibson Woods, Kings Co., NS
Relationship to deceased Son
21. Place of burial Gibson Woods, Kings Co., NS
Date of burial 15 December 1971
22. Undertaker H. C. Lindsay, Kentville, Kings Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 12, 1971
CAUSE OF DEATH
(a) Intracranial Hemorrhage
(b) Cardiovascular Accident
(c)
other
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