Male Death Registration: Year: 1971 number: 3905
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003905
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Lockhart Nursing Home
3. PRINT NAME OF DECEASED Treen, Charles William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Greenville
9. DATE OF BIRTH 2 19, 1877
10. AGE in Years94 Months3 Days11 | hrs or mins
11. Trade or profession Railroad Man
12. Kind of industry Canadian National Railway
13. Date last worked 1942 14. Total years 29 yrs
15. If married name of spouse Elva Treen
16. NAME of Father James Treen
17. BIRTHPLACE Malagash, NS
18. NAME of Mother Anna King
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elva Treen
address 36 Croft St, Amherst, NS
Relationship to deceased Wife
21. Place of burial Wentworth, NS
Date of burial June 1, 1971
22. Undertaker Furlong's Funeral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 30, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b) Old Age
(c)
other Prostatism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495981
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