Male Death Registration: Year: 1971 number: 1648
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001648
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermans Memorial Hospital
3. PRINT NAME OF DECEASED Hiltz, Harry Borden
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 21, 1884
10. AGE in Years86 Months4 Days13 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Clerk
13. Date last worked 1955 14. Total years
15. If married name of spouse Deceased
16. NAME of Father Arthur Hiltz
17. BIRTHPLACE Lunenburg Co.
18. NAME of Mother Hughes
19. BIRTHPLACE Lunenburg Co.
20. Signature of Informant Carey Linden Veinot
address Mahone Bay
Relationship to deceased Daughter
21. Place of burial Park Cemetery, Mahone Bay
Date of burial February 6, 1971
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 3, 1971
CAUSE OF DEATH
(a) G.I. Hemorrhage
(b) Hiatus Hernia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493726
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