Male Death Registration: Year: 1971 number: 1634
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001634
1. PLACE OF DEATH County of Hants If in City or Town Falmouth
If death occured in a hospital or institution Hilltop Nursing Home
3. PRINT NAME OF DECEASED Haley, Fred Mariott
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Martock, Hants County
9. DATE OF BIRTH 1 6, 1887
10. AGE in Years84 Months1 Days3 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Haley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jennie Kehoe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Walter Taylor
address Cambridge, Kings Co.
Relationship to deceased daughter
21. Place of burial Maplewood Cemetery (Windsor)
Date of burial February 13, 1971
22. Undertaker Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493712
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