Male Death Registration: Year: 1970 number: 3681
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003681
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Bailey, Charles Hollis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Round Hill
9. DATE OF BIRTH 12 8, 1918
10. AGE in Years51 Months6 Days1 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked May 15, 1970 14. Total years 20
15. If married name of spouse Kathleen Bailey
16. NAME of Father Reginald Bailey
17. BIRTHPLACE Round Hill
18. NAME of Mother Laura Foster
19. BIRTHPLACE Round Hill
20. Signature of Informant J. S Bailey
address Round Hill
Relationship to deceased Daughter
21. Place of burial Round Hill (Cemetery)
Date of burial June 12 , 1970
22. Undertaker Blair Hatfield, Granville Ferry
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 9, 1970
CAUSE OF DEATH
(a) Ruptured Cerebral Artery Aneurysm
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488991
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