Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Richard Inglis Hiltz death at Forties, Lunenburg County on April 25, 1971
Male Death Registration: Year: 1971 number: 3077
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003077
1. PLACE OF DEATH County of Lunenburg If in City or Town Forties
If death occured in a hospital or institution Lun. County
3. PRINT NAME OF DECEASED Hiltz, Richard Inglis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 12, 1893
10. AGE in Years77 Months5 Days13 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked April 24/ 71 14. Total years
15. If married name of spouse Hulda Hiltz
16. NAME of Father David Hiltz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Jenkins
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Ambrose Collicutt
address Chester, NS
Relationship to deceased Daughter
21. Place of burial Forties, NS
Date of burial April 28, 1971
22. Undertaker Davis Funeral Home, Chester, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 25, 1971
CAUSE OF DEATH
(a) Acute Congestive Heart Failure
(b)
(c)
other
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