Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Henry Pelly death at Riverton, Pictou County on March 19, 1971
Male Death Registration: Year: 1971 number: 2449
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002449
1. PLACE OF DEATH County of Pictou If in City or Town Riverton
If death occured in a hospital or institution Pictou Co., Home for the Aged
3. PRINT NAME OF DECEASED Pelly, William Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 4, 1876
10. AGE in Years94 Months8 Days15 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked Retired 14. Total years
15. If married name of spouse Josephine Pelly
16. NAME of Father Thomas Pelly
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ester Meeds
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Elsie Upshaw
address 255 Young St., Truro
Relationship to deceased Daughter
21. Place of burial Evergreen Cemetery, Guysboro
Date of burial March 23, 1971
22. Undertaker Curry Bros. Funeral Directors Ltd., Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 19, 1971
CAUSE OF DEATH
(a) Pneumonitis
(b) Ischemic heart disease
(c)
other
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