Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Herbert Sydney Hayes death at Wilmot, Annapolis County on January 16, 1970
Male Death Registration: Year: 1970 number: 1444
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001444
1. PLACE OF DEATH County of Annapolis If in City or Town Wilmot
If death occured in a hospital or institution Mrs. Lee Currie's Boarding Home
3. PRINT NAME OF DECEASED Hayes, Herbert Sydney
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Massachusetts, USA
9. DATE OF BIRTH 3 24, 1880
10. AGE in Years89 Months9 Days23 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry X
13. Date last worked 1955 14. Total years Life
15. If married name of spouse Ethel Patterson
16. NAME of Father Gideon Hayes
17. BIRTHPLACE England
18. NAME of Mother Alice Smith
19. BIRTHPLACE England
20. Signature of Informant Mrs. Lee Curry
address Wilmot
Relationship to deceased None
21. Place of burial Margaretsville
Date of burial January 18, 1970
22. Undertaker Warren T. Roop Ltd. Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1970
CAUSE OF DEATH
(a) cerebrocasdulcar accident C.V.A.
(b)
(c)
other
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