Male Death Registration: Year: 1971 number: 1484
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001484
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution PM Hospital
3. PRINT NAME OF DECEASED Hines, Robie Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 5, 1875
10. AGE in Years95 Months4 Days1 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 1950 14. Total years
15. If married name of spouse
16. NAME of Father Charles Hines
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ellen Edwards
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carl Hines
address Newport Station, Hants Co.
Relationship to deceased Son
21. Place of burial St. Croix, Hants Co.
Date of burial February 8, 1971
22. Undertaker Lohnes Funeral Service Ltd., Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 6, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493562
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