Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Riddle Hyndman death at Halifax, Halifax County on June 26, 1971
Male Death Registration: Year: 1971 number: 4094
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004094
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Hyndman, Samuel Riddle
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Ireland
9. DATE OF BIRTH 9 18, 1877
10. AGE in Years93 Months9 Days8 | 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
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant A.T. Haines
address 6 Brightwood Ave. Dartmouth, NS
Relationship to deceased Son-in-Law
21. Place of burial Spencerville, Ont.
Date of burial June 26, 1971
22. Undertaker Mattatall Funeral Home, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1971
CAUSE OF DEATH
(a) Cardiovascular Failure
(b) Anemia of unknown etiology
(c)
other
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