Male Death Registration: Year: 1971 number: 3921
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003921
1. PLACE OF DEATH County of Hants If in City or Town Lantz
3. PRINT NAME OF DECEASED Miller, Charles Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German Dutch
7. Single, Married
widowed
8. BIRTHPLACE Lantz
9. DATE OF BIRTH 10 29, 1899
10. AGE in Years71 Months7 Days4 | hrs or mins
11. Trade or profession Heating Plant Op.
12. Kind of industry
13. Date last worked 1 Jan 71 14. Total years life
15. If married name of spouse
16. NAME of Father Hector Miller
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eliza Woodworth
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harry Miller
address Lantz
Relationship to deceased Son
21. Place of burial Dutch Settlement
Date of burial 5 June '71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Generalized Arterosclerosis
(c)
other Carcinoma Prostate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495997
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