Male Death Registration: Year: 1971 number: 3629
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003629
1. PLACE OF DEATH County of Halifax If in City or Town Oyster Pond
If death occured in a hospital or institution Highway 7
3. PRINT NAME OF DECEASED Harlow, George Frederick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 27, 1943
10. AGE in Years27 Months5 Days3 | hrs or mins
11. Trade or profession Waiter
12. Kind of industry Beach Comer
13. Date last worked 1971 14. Total years
15. If married name of spouse Hazel Kirk
16. NAME of Father Mervyn Harlow
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Grace Baggett
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Hazel Harlow
address 29 Main Ave, Halifax, NS
Relationship to deceased Wife
21. Place of burial Hillcrest Memorial Gardens, Lr. Sackville, NS
Date of burial June 1, 1971
22. Undertaker Lindsay's, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 30, 1971
CAUSE OF DEATH
(a) Hemorrhagic Shock
(b) Multiple injuries
(c) Motor vehicle accident
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495705
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