Male Death Registration: Year: 1971 number: 2912
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002912
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Colby, George Warren
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE HAntsport
9. DATE OF BIRTH 1 10, 1884
10. AGE in Years87 Months2 Days29 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Lumbering
13. Date last worked 1955 14. Total years 60
15. If married name of spouse Mary Alice Fields
16. NAME of Father Warren Colby
17. BIRTHPLACE United States
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Mary A F Colby
address Main St, Hantsport
Relationship to deceased wife
21. Place of burial Riverbank Cemetery, Hantsport, NS
Date of burial April 12, 1971
22. Undertaker Lohnes Funeral Service Ltd, Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1971
CAUSE OF DEATH
(a) Renal Failure
(b) Severe burns
(c) Arteriosclerotic Heart Disease
other Accident: House fire
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494989
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