Male Death Registration: Year: 1971 number: 3978
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003978
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Walters, George William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 16, 1913
10. AGE in Years57 Months7 Days3 | hrs or mins
11. Trade or profession Trucker
12. Kind of industry
13. Date last worked 1970 14. Total years 35
15. If married name of spouse
16. NAME of Father Charles Walters
17. BIRTHPLACE England
18. NAME of Mother Sadie Pye
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Evelyn Schurman
address 3173 Union Street, Hfx.
Relationship to deceased Friend
21. Place of burial Fairview Cemetery, Hfx., NS
Date of burial June 22, 1971
22. Undertaker Snow & Co. Ltd., Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) Bronchogenic Carcinoma
(b) Cerebral Metastasis
(c) Cervical Metastesis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496054
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