Male Death Registration: Year: 1971 number: 3374
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003374
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED McInnis, William S.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 15, 1898
10. AGE in Years73 Months3 Days1 | hrs or mins
11. Trade or profession Retired Coal Miner
12. Kind of industry Dominion Coal Co
13. Date last worked 1948 14. Total years 38 yrs
15. If married name of spouse Catherine McInnis
16. NAME of Father James McInnis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Catherine McInnis
address 66 - 4th Street, New Aberdeen, Glace Bay
Relationship to deceased Wife
21. Place of burial Glace Bay, C.B.
Date of burial April 19, 1971
22. Undertaker Pattens Funeral Home Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 16, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Severe Parkinsonism
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495450
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