Male Death Registration: Year: 1971 number: 2911
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002911
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution enroute to P M Hospital
3. PRINT NAME OF DECEASED Walker, Charles Vaughan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 30, 1899
10. AGE in Years71 Months6 Days2 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1971 14. Total years
15. If married name of spouse
16. NAME of Father John Walker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Charlotte Hines
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Arthur Burns
address 6383 Young St, Halifax, NS
Relationship to deceased sister
21. Place of burial St pauls Cemetery, Rawdon
Date of burial April 5, 1971
22. Undertaker Withrow - McMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 1, 1971
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494988
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