Male Death Registration: Year: 1971 number: 4352
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004352
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital for Children, Halifax, NS
3. PRINT NAME OF DECEASED Williams, Harold Edison
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 7 2, 1971
10. AGE in Years Months Days6 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James A. Williams
17. BIRTHPLACE NS
18. NAME of Mother Audrey Williams
19. BIRTHPLACE NS
20. Signature of Informant Eric Williams
address Monastery, Antigonish Co., NS
Relationship to deceased Uncle
21. Place of burial Baptist Cemetery, Monastery
Date of burial July 12, 1971
22. Undertaker Lindsay's Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 8, 1971
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) Prematurity
(c)
other
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496427
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