Male Death Registration: Year: 1971 number: 1035
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001035
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodoboit
If death occured in a hospital or institution Musq. Valley Memorial Hospital
3. PRINT NAME OF DECEASED Hamilton, Herbert William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 19, 1910
10. AGE in Years60 Months11 Days17 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Sarah
16. NAME of Father Pearson Hamilton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Martha Chaplin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. H. W. Hamilton
address Upper Stewiacke
Relationship to deceased Wife
21. Place of burial Upper Stewiacke
Date of burial January 8, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 5, 1971
CAUSE OF DEATH
(a) masive myocardial infarction
(b) with cardiac arrest
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493113
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