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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