Male Death Registration: Year: 1971 number: 3844
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003844
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 Williams, Douglas Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Barnsley, England
9. DATE OF BIRTH 4 8, 1903
10. AGE in Years68 Months2 Days6 | hrs or mins
11. Trade or profession Woodworker
12. Kind of industry Manufacturing windows & doors
13. Date last worked 1957 14. Total years 11 yrs
15. If married name of spouse Eileen Rose (Austin) Williams
16. NAME of Father Thomas James Williams
17. BIRTHPLACE Wales
18. NAME of Mother Rhoda Pearce
19. BIRTHPLACE England
20. Signature of Informant Eileen R. Williams
address 9 Athol Rd. Springhill, NS
Relationship to deceased Wife
21. Place of burial Rodney, Cumb. Co. NS
Date of burial June 17, 1971
22. Undertaker A.H. Brown Funeral Service Ltd, Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 14, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Generalized Arteriosclerosis
(c)
other Diabetes Mellitus Obstructive Peripheral Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495920
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