Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harold David Staples death at Halifax, Halifax County on June 2, 1970
Male Death Registration: Year: 1970 number: 3664
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003664
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Harbour
3. PRINT NAME OF DECEASED Staples, Harold David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 7 4, 1930
10. AGE in Years39 Months10 Days28 | hrs or mins
11. Trade or profession Welder
12. Kind of industry Halifax Shipyards
13. Date last worked 1970 14. Total years 5
15. If married name of spouse Grace Staples
16. NAME of Father Douglas Staples
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marjorie Graham
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. George Staples
address 4 Frederick St., Dartmouth
Relationship to deceased Brother
21. Place of burial Dartmouth Mem. Gardens, Westphal
Date of burial June 5, 1970
22. Undertaker Mattatalls Funeral Services Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1970
CAUSE OF DEATH
(a) Axphyxiation
(b) Drowning
(c)
other Internal injuries
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