Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Edwin Doane Churchill death at Sheet Harbour, Halifax County on March 16, 1971
Male Death Registration: Year: 1971 number: 2331
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002331
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Watt Section, Sheet Harbour
3. PRINT NAME OF DECEASED Churchill, Edwin Doane
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 28, 1935
10. AGE in Years36 Months Days16 | hrs or mins
11. Trade or profession Store Manager
12. Kind of industry N.S. Liquor Commission
13. Date last worked Mar 16/71 14. Total years 11 yrs
15. If married name of spouse Margaret nee Holman
16. NAME of Father Murray Churchill
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Viola Hamilton
19. BIRTHPLACE Nova Scotia
20. Signature of Informant M.P. Churchill
address Watt Section
Relationship to deceased Wife
21. Place of burial Watt Section Anglican Cemetery
Date of burial March 19, 1971
22. Undertaker Duncan S. Crowell, P.O. Box 14, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 16, 1971
CAUSE OF DEATH
(a) Acute myocardial infarction
(b)
(c)
other
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