Male Death Registration: Year: 1971 number: 2115
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002115
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hospital
3. PRINT NAME OF DECEASED Scott, William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 12 14, 1893
10. AGE in Years77 Months2 Days22 | hrs or mins
11. Trade or profession Naval Architect
12. Kind of industry Hfx Shipyards
13. Date last worked Mar 8/59 14. Total years 45 yrs
15. If married name of spouse Mary Scott
16. NAME of Father Samuel Scott
17. BIRTHPLACE Scotland
18. NAME of Mother Jeannie Wilson
19. BIRTHPLACE Scotland
20. Signature of Informant Mrs. William Scott
address 5859 Inglis St, Halifax N.S.
Relationship to deceased Wife
21. Place of burial Fairview Cemetery Hfx
Date of burial March 10, 1971
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 8, 1971
CAUSE OF DEATH
(a) Broncho Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494192
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