Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lorn David Hiltz death at Berwick, Kings County on November 26, 1970
Male Death Registration: Year: 1970 number: 6876
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006876
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution West Kings Memorial Hospital
3. PRINT NAME OF DECEASED Hiltz, Lorn David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Aylesford
9. DATE OF BIRTH 2 22, 1916
10. AGE in Years54 Months9 Days4 | hrs or mins
11. Trade or profession Labour
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Fredwick Hiltz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nora Banks
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Hilton Lacey
address RR1 Aylesford
Relationship to deceased Sister
21. Place of burial Morristown
Date of burial Nov 28, 70
22. Undertaker H.C. Lindsay Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 26, 1970
CAUSE OF DEATH
(a) Aspiration gastric contents
(b) Gram-negative Bacteremia
(c) Longstanding small bowel fistula
other Gross Malnutrition
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