Male Death Registration: Year: 1971 number: 4324
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004324
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Carroll, Horatio Stanley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 30, 1897
10. AGE in Years73 Months7 Days13 | hrs or mins
11. Trade or profession Commissionaires
12. Kind of industry Halifax Infirmary
13. Date last worked July 15/70 14. Total years 8 yrs
15. If married name of spouse Ethel Carroll
16. NAME of Father Thomas H. Carroll
17. BIRTHPLACE New Brunswick
18. NAME of Mother Isabella E. Conrad
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald Carroll
address 2575 Elm Street, Hfx., NS
Relationship to deceased Son
21. Place of burial Fairview Cemetery, Halifax, NS
Date of burial July 16, 1971
22. Undertaker Halifax Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 13, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) widespread Carcinoma of Prostate
(c) Severe anemia & edema & congestive failure
other Cachexia with malnutrition
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496399
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