Male Death Registration: Year: 1971 number: 3483
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003483
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Holl, Henry Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 9 15, 1918
10. AGE in Years52 Months8 Days5 | hrs or mins
11. Trade or profession Timekeeper
12. Kind of industry HMCS Dockyard
13. Date last worked May 3, 1971 14. Total years 17
15. If married name of spouse Margaret Sampson
16. NAME of Father Fredrick Holl
17. BIRTHPLACE PEI
18. NAME of Mother May Cox
19. BIRTHPLACE PEI
20. Signature of Informant G. X. MacNeil
address 299 Whitney Ave., Sydney
Relationship to deceased Son in Law
21. Place of burial Emanuel Cemetery, Spryfield
Date of burial May 21, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 20, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Ventricular Arrythmia
(c) Left Pneumothorax (collapsed lung)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495559
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