Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harold Ward Countway death at Lunenburg, Lunenburg County on June 13, 1971
Male Death Registration: Year: 1971 number: 3947
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003947
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fisherman’s Memorial Hospital
3. PRINT NAME OF DECEASED Countway, Harold Ward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Chester Basin, Lun. County Nova Scotia
9. DATE OF BIRTH 5 26, 1892
10. AGE in Years79 Months Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Thelma Countway
16. NAME of Father Thomas Countway
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hannah Bauchman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Thelma L Countway
address Chester Basin, NS
Relationship to deceased Wife
21. Place of burial Chester Basin, NS
Date of burial June 16, 1971
22. Undertaker Davis Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b)
(c)
other
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