Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Winterburn Wells death at Halifax, Halifax County on January 15, 1971
Male Death Registration: Year: 1971 number: 1191
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001191
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Wells, William Winterburn
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 19, 1881
10. AGE in Years89 Months7 Days29 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fireman
13. Date last worked 1946 14. Total years 40
15. If married name of spouse Late Agnes Wells
16. NAME of Father Harry Wells
17. BIRTHPLACE Halifax, Nova Scotia
18. NAME of Mother Georgenia West
19. BIRTHPLACE Halifax, Nova Scotia
20. Signature of Informant (Mrs) Maude Boutilier
address 3168 Agricola Street, Hfx.
Relationship to deceased
21. Place of burial Mt. Olivet, Hfx.
Date of burial January 19, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 15, 1971
CAUSE OF DEATH
(a) ASHD with cong. failure
(b)
(c)
other UT infection
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