Male Death Registration: Year: 1970 number: 2421
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002421
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Dicks, Wayne Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 26, 1953
10. AGE in Years16 Months3 Days1 | hrs or mins
11. Trade or profession Student
12. Kind of industry Queen Elizabeth High
13. Date last worked Dec./69 14. Total years 11
15. If married name of spouse Single
16. NAME of Father Morris Dicks
17. BIRTHPLACE Berego, Newfoundland
18. NAME of Mother Shirley Dunsworth.
19. BIRTHPLACE Halifax
20. Signature of Informant Morris Dicks
address 3290 Connaught Avenue Halifax
Relationship to deceased (Father)
21. Place of burial Hillcrest Memorial Gardens Lr. Sackville
Date of burial March 30, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 27, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487734
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