Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Warne Kinney death at Annapolis Royal, Annapolis County on August 11, 1971
Male Death Registration: Year: 1971 number: 4999
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004999
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Stewart Rest Home
3. PRINT NAME OF DECEASED Kinney, William Warne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Ashmore
9. DATE OF BIRTH 5 21, 1892
10. AGE in Years79 Months2 Days13 | 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 Henry Kinney
17. BIRTHPLACE NS
18. NAME of Mother Annie Warne
19. BIRTHPLACE NS
20. Signature of Informant Carl Kinney
address RR #3, Weymouth, NS
Relationship to deceased Nephew
21. Place of burial Weymouth, NS
Date of burial 13 Aug1971
22. Undertaker Weymouth Funeral Home Ltd. Weymouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1971
CAUSE OF DEATH
(a) Heart Block
(b) Uraemia
(c)
other
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