Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Melvin Lloyd Hines death at Halifax, Halifax County on November 4, 1970
Male Death Registration: Year: 1970 number: 6519
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006519
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 Hines, Melvin Lloyd
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Dutch Settlement
9. DATE OF BIRTH 3 29, 1924
10. AGE in Years46 Months7 Days6 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry
13. Date last worked 11 Feb. 69 14. Total years Life
15. If married name of spouse Helen (Paley) Hines
16. NAME of Father Norman Hines
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ashley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Melvin Hines
address Lantz
Relationship to deceased 6 Nov 70
21. Place of burial Dutch Settlement
Date of burial 6 Nov 70
22. Undertaker Ettinger Funeral Service LTD.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1970
CAUSE OF DEATH
(a) Myocardial infarct & CVA
(b) ASHD
(c)
other
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