Male Death Registration: Year: 1971 number: 4861
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004861
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution in his car
3. PRINT NAME OF DECEASED Hines, Wilfred Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Argyle
9. DATE OF BIRTH 11 23, 1896
10. AGE in Years74 Months8 Days7 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Chartered Accountant
13. Date last worked 14. Total years
15. If married name of spouse Marion Hines
16. NAME of Father Capt. Lovitt W. Hines
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ethel L. Ryder
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Marion G Hines
address Gavelton, Yar. Co., NS
Relationship to deceased Wife
21. Place of burial Yarmouth, NS
Date of burial August 2 1971
22. Undertaker Sweeny's Funeral Home, Yar. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 30, 1971
CAUSE OF DEATH
(a) DOA (illegible)
(b) Arteriosclerotic Heart Disease
(c) [illegible]
other Bronchitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496936
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