Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alfred William Collins death at Halifax, Halifax County on December 31, 1970
Male Death Registration: Year: 1970 number: 7528
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007528
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Collins, Alfred William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 1 14, 1891
10. AGE in Years79 Months11 Days17 | hrs or mins
11. Trade or profession Technician
12. Kind of industry Labratory
13. Date last worked 1965 14. Total years 19
15. If married name of spouse Lillian Collins
16. NAME of Father Robert Collins
17. BIRTHPLACE England
18. NAME of Mother Elizabeth
19. BIRTHPLACE England
20. Signature of Informant Wade White
address Head of Chezzetcook
Relationship to deceased Son-in-law
21. Place of burial Fairview, Halifax
Date of burial January 2, 1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 31, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other
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