| Place of Death | St. Paul Hospital, Vancouver B.C. |
| Length of Stage |
In Municiality where death occurred 4 yrs
In Province 16 yrs In Canada (if immigrant) 66 yrs |
| Name of Deceased | Eliis, Herbert |
| Permanent Residence of Deceased | 1350 Haro street, Vancouver |
| Citizenship | Canadian |
| Racial Origin | White |
| Single, Married, Widowed or Divorced | Married |
| Birthplace | England |
| Date of birth | July 9th. 1896 |
| Trade, profession, etc | Railway Man C.N.R. |
| Date deceased last worked at this occupation | 1956 |
| Total years spent in this occupation | Life |
| If married, widowed or divorced give name of husband or maiden name of wife of deceased | May Gertrude Knowles |
| Name of Father | Ellis, John - Born England |
| Name of Mother | N/K |
| Informant |
? Ellis
Son 12433 134 St., Edmonton, Alberta |
| Disposition |
Cremation at Vancouver, B.C.
December 30th, 1971 Vancouver Crematorium Ltd. |
| Funeral Director | Hamilton Mortuary Ltd, 5390 Fraser St. |
| Medical Certificate of Death | |
| Date of Death | December 28 197 |
| Cause of Death |
Immediate cause of death: Cerebrtal Haemorrhage
Antecedent causes: CAtherosclerosis Other significant conditions: |
| Autopsy Particulars | Autopsy not being held |
| Accident or Violence | |
| Surgical Operation | |
| Certification | Stefan Dyakowski, 1740 Newi? St? 29 December 1971 |
| Notations | |
Source: Royal BC Museum