Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Lewis Hickey death at Dartmouth, Halifax County on June 24, 1970
Male Death Registration: Year: 1970 number: 3977
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003977
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Abandoned Reservoir
3. PRINT NAME OF DECEASED Hickey, Douglas Lewis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 10 10, 1953
10. AGE in Years17 Months8 Days14 | hrs or mins
11. Trade or profession Student
12. Kind of industry At Dartmouth
13. Date last worked June 22, 1970 14. Total years 9
15. If married name of spouse
16. NAME of Father James F. Hickey
17. BIRTHPLACE Halifax
18. NAME of Mother Geraldine B. Corbin
19. BIRTHPLACE Dartmouth
20. Signature of Informant James F Hickey
address 506 Pleasant St, Dart.
Relationship to deceased Father
21. Place of burial MT, Hermon Dart.
Date of burial June 27, 1970
22. Undertaker Dart. Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 24, 1970
CAUSE OF DEATH
(a) Asphyxiation
(b) Drowning
(c)
other Accident
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