Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Henry Jean death at Halifax, Halifax County on August 16, 1970
Male Death Registration: Year: 1970 number: 4893
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004893
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Jean, William Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Quebec
9. DATE OF BIRTH 5 11, 1886
10. AGE in Years84 Months3 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Eliza Bower
16. NAME of Father William Jean
17. BIRTHPLACE
18. NAME of Mother ?
19. BIRTHPLACE
20. Signature of Informant Lionel Jean
address 2115 Bauer Street, Halifax
Relationship to deceased Son
21. Place of burial Barachois Station, Gaspe
Date of burial Aug 17th 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1970
CAUSE OF DEATH
(a) Dehydration, acidosis malnutrition
(b) Diarhea
(c)
other Complete Heart Block
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