Male Death Registration: Year: 1971 number: 3783
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003783
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysborough Memorial Hospital
3. PRINT NAME OF DECEASED Williams, Charles Freeman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 1, 1889
10. AGE in Years82 Months2 Days2 | hrs or mins
11. Trade or profession Pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Williams
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Rhyter
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Leland C Williams
address Box 106 Guysborough, NS
Relationship to deceased nephew
21. Place of burial Evergreen Cemetery, Guysborough, NS
Date of burial June 5, 1971
22. Undertaker Nathan Rhynold, Phillips Harbour, Guys, Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495859
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