Male Death Registration: Year: 1970 number: 4155
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004155
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution Johnson Road on highway
3. PRINT NAME OF DECEASED Williams, William Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 21, 1913
10. AGE in Years56 Months11 Days11 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mine
13. Date last worked Aug/66 14. Total years 35
15. If married name of spouse Janet Williams
16. NAME of Father Patrick Williams
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bridget Donovan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Janet Williams
address LeBlanc Road, Florence
Relationship to deceased Wife
21. Place of burial St. Joseph's, Sydney Mines
Date of burial July 6, 1970
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 2, 1970
CAUSE OF DEATH
(a) Barbiturate poisoning
(b)
(c)
other Chronic Depression Suicide
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489464
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