Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David James Elms death at New Glasgow, Pictou County on December 19, 1971
Male Death Registration: Year: 1971 number: 7588
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007588
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Elms, David James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
single
8. BIRTHPLACE Monastery, Antigonish County
9. DATE OF BIRTH 2 3, 1896
10. AGE in Years75 Months10 Days16 | hrs or mins
11. Trade or profession Retired Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Johnson Elms
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Day
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Gordon Clark
address 294 Vale Road, New Glasgow, Pictou Co., NS
Relationship to deceased Nephew
21. Place of burial Brookside Cemetery, New Glasgow, Pictou Co., NS
Date of burial 23 December 1971
22. Undertaker R. H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 19, 1971
CAUSE OF DEATH
(a) Bronchial Pneumonia
(b) Prostatic Hypertrophy
(c)
other Cerebral Thrombosis
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