Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Otis Rudolph Hartlen death at Liverpool, Queens County on April 6, 1971
Male Death Registration: Year: 1971 number: 2811
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002811
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Hartlen, Otis Rudolph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Milton
9. DATE OF BIRTH 3 11, 1895
10. AGE in Years76 Months Days26 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1960 14. Total years
15. If married name of spouse Flora Hartlen
16. NAME of Father Claude W Hartlen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isabella MacEachern
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clyde H Hartlen
address Milton, Queens Co. NS
Relationship to deceased son
21. Place of burial Milton, Queens Co. NS
Date of burial April 8, 1971
22. Undertaker Chandlers Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 6, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c) Early Renal Failure
other Pulmonary Embolism & Infarction Congestive Heart Failure
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