Male Death Registration: Year: 1970 number: 2827
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002827
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hosp. for Children
3. PRINT NAME OF DECEASED Hartlen, Douglas Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Ottawa, Ontario
9. DATE OF BIRTH 4 8, 1963
10. AGE in Years6 Months11 Days11 | hrs or mins
11. Trade or profession Student
12. Kind of industry Fairview School
13. Date last worked Feb, 1970 14. Total years 2
15. If married name of spouse
16. NAME of Father William Hartlen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marian Hird
19. BIRTHPLACE Ontario
20. Signature of Informant William Hartlen
address 414 Lodge Dr. (Princess Lodge) Halifax
Relationship to deceased Father.
21. Place of burial Hillcrest Gardens. LR Sack
Date of burial March 21 , 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 19, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488139
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