Male Death Registration: Year: 1971 number: 3854
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003854
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldier's Memorial Hospital
3. PRINT NAME OF DECEASED Piggott, William Reginald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 20, 1906
10. AGE in Years65 Months Days22 | hrs or mins
11. Trade or profession Farmer - 25 Years
12. Kind of industry Antique Dealer - 10 years
13. Date last worked Dec.1970 14. Total years Life
15. If married name of spouse Carolyn Dill
16. NAME of Father Louis Piggott
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Clara Whitman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carolyn Piggott
address Paradise, Annapolis Co. NS
Relationship to deceased Wife
21. Place of burial Paradise, Annapolis Co. NS
Date of burial June 14, 1971
22. Undertaker Warren T. Roop Ltd, Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 11, 1971
CAUSE OF DEATH
(a) Septisemia
(b) Gangrene of left foot
(c) Diffuse Arteriosclerosis
other Arteriosclerotic Heart Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495930
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