Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles Alfred Hiltz death at Sherbrooke, Guysborough County on April 13, 1971

Male Death Registration: Year: 1971 number: 3037

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003037

1. PLACE OF DEATH   County of Guysborough If in City or Town Sherbrooke
If death occured in a hospital or institution St. Mary's Hospital

3. PRINT NAME OF DECEASED Hiltz, Charles Alfred

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Welsh

7. Single, Married

single

8. BIRTHPLACE Port Bickerton

9. DATE OF BIRTH 9  17, 1889

10. AGE in  Years81  Months6  Days27 | hrs or mins

11. Trade or profession Boat Builder

12. Kind of industry

13. Date last worked Retired       14. Total years Life

15. If married name of spouse

16. NAME of Father Charles William Hiltz

17. BIRTHPLACE Peggy's Cove

18. NAME of Mother Margaret Elizabeth Keizer

19. BIRTHPLACE Port Bickerton

20. Signature of Informant Wilfred Francis Hiltz

      address Port Bickerton

      Relationship to deceased Nephew

21. Place of burial Port Bickerton

      Date of burial April 15, 1971

22. Undertaker Veinotte & Sons Funeral Service Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH April 13, 1971

CAUSE OF DEATH

(a) Arterio Sclerotic Heart Disease

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495113

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