Male Death Registration: Year: 1970 number: 1503
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001503
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital, Windsor
3. PRINT NAME OF DECEASED Miles, Carl Bernard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Melanson
9. DATE OF BIRTH 5 7, 1922
10. AGE in Years47 Months8 Days18 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Margaret Scott
16. NAME of Father John Miles
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bertha Walsh
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Carl Miles
address Falmouth
Relationship to deceased wife
21. Place of burial Grand Pre
Date of burial January 28, 1970
22. Undertaker Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 25, 1970
CAUSE OF DEATH
(a) hematemesis
(b) gastric ulcer
(c) diabetes and cortisone therapy
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486817
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