Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Hiltz death at Millville, Kings County on January 5, 1971
Male Death Registration: Year: 1971 number: 1139
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001139
1. PLACE OF DEATH County of Kings If in City or Town Millville
3. PRINT NAME OF DECEASED Hiltz, David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Fraxville, New Ross, Lunenburg
9. DATE OF BIRTH 3 , 1870
10. AGE in Years100 Months Days | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Annie Brown
16. NAME of Father Bathalamue Hiltz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Harriet Green
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Vincent Hiltz
address Millville, Kings Co., Nova Scotia
Relationship to deceased Son
21. Place of burial Berwick Cemetery
Date of burial January, 8, 1971
22. Undertaker H. C. Lindsay Funeral Home, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 5, 1971
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Congestive Heart Failure
(c)
other
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