Male Death Registration: Year: 1970 number: 4975
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004975
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Heim, Silas George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Chelsea
9. DATE OF BIRTH 12 24, 1897
10. AGE in Years72 Months7 Days26 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Mixed Farming
13. Date last worked 1968 14. Total years approx 54
15. If married name of spouse
16. NAME of Father Mr Dempson Heim
17. BIRTHPLACE Chelsea, Lun Co
18. NAME of Mother Miss Addie Baker
19. BIRTHPLACE Chelsea
20. Signature of Informant Miss Fannie Faulkner
address (Chelsea) Bridgewater RR6, Lun Co
Relationship to deceased Cousin
21. Place of burial Chelsea, Lun Co
Date of burial 21 August 1970
22. Undertaker Stan Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 19, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490284
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