Male Death Registration: Year: 1970 number: 6493
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006493
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Williams, Rodney Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Picton, Ontario
9. DATE OF BIRTH 1 15, 1955
10. AGE in Years15 Months9 Days6 | hrs or mins
11. Trade or profession School boy
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Rodney Forester Williams
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Shirley May Strachan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Rodney Forrester Williams
address Carleton Village
Relationship to deceased father
21. Place of burial Pine Grove Cemetery, Shelburne
Date of burial October 25, 1970
22. Undertaker Husklison's Funeral Home, Shelburne, Willard Holmes
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 22, 1970
CAUSE OF DEATH
(a) Exsanguination Hemorhage
(b) Gun shot wound pelvis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491800
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