Male Death Registration: Year: 1971 number: 4693
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004693
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann Hospital, Arichat, Richmond Co., NS
3. PRINT NAME OF DECEASED Urquhart, William S.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scotish
7. Single, Married
married
8. BIRTHPLACE West Bay, Rich. County
9. DATE OF BIRTH 2 12, 1888
10. AGE in Years83 Months5 Days2 | 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 Blanch Urquhart
16. NAME of Father John Urquhart
17. BIRTHPLACE St. George Channel, Rich. Co., NS
18. NAME of Mother Catherine Hill
19. BIRTHPLACE St. George Channel, Rich. Co., NS
20. Signature of Informant Blanch Urquhart
address RR #1, Louisdale
Relationship to deceased Wife
21. Place of burial Black River Church, Inv. Co. NS
Date of burial 17 July 1971
22. Undertaker C. A. Boucher Funeral Home, Arichat, Rich. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 14, 1971
CAUSE OF DEATH
(a) Coronary Insufficiency
(b) Myocardial Insufficiency
(c) Illegible
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496768
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