Male Death Registration: Year: 1971 number: 4002
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004002
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Withrow, Seth Reginald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 24, 1908
10. AGE in Years62 Months11 Days18 | hrs or mins
11. Trade or profession Mortician
12. Kind of industry
13. Date last worked 1971 14. Total years 30 yrs
15. If married name of spouse Janie Withrow
16. NAME of Father John Withrow
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isabel Weatherhead
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Janie Withrow
address Upper Rawdon, Hants Co., N. S.
Relationship to deceased wife
21. Place of burial Upper Rawdon
Date of burial June 14, 1971
22. Undertaker Lohnes Funeral Service Ltd. Windsor, N. S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 11, 1971
CAUSE OF DEATH
(a) Pulmonary embolism
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496077
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