Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Willie Hamm death at Lunenburg, Lunenburg County on June 7, 1971
Male Death Registration: Year: 1971 number: 4174
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004174
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, Lunenburg, NS
3. PRINT NAME OF DECEASED Hamm, Willie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
single
8. BIRTHPLACE Mahone Bay, Lunenburg County
9. DATE OF BIRTH 11 24, 1896
10. AGE in Years74 Months6 Days14 | 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 Bessie Whynot
address 24 Slayter St., Dartmouth, NS
Relationship to deceased Niece
21. Place of burial Park Cemetery, Mahone Bay
Date of burial June 9,1971
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 7, 1971
CAUSE OF DEATH
(a) Gastrointestinal Hemorrhage
(b) Carcinoma of Stomach
(c)
other
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