Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Horace Stephen Hollingsworth death at Bridgewater, Lunenburg County on March 13, 1970

Male Death Registration: Year: 1970 number: 2299

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002299

1. PLACE OF DEATH   County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Hollingsworth, Horace Stephen

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

German

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 7  31, 1901

10. AGE in  Years68  Months7  Days13 | 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 Single,

16. NAME of Father Arthur  Hollingsworth

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Frances  Dagley

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mr. Robie Hollingsworth.

      address RR#1 Italy Cross Lun Co.

      Relationship to deceased Brother

21. Place of burial Charleston, Queens Co.

      Date of burial Mar 16, 1970

22. Undertaker Clarles Sweeny Bluewater

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH March 13, 1970

CAUSE OF DEATH

(a) Peritonitis

(b) Perforation of Anal Bowel

(c)

other Emphysema

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487612

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