Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles William Tyler death at Camp Hill Hospital , Halifax County on July 13, 1971
Male Death Registration: Year: 1971 number: 5078
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005078
1. PLACE OF DEATH County of Halifax If in City or Town Camp Hill Hospital
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Tyler, Charles William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE Bridgetown
9. DATE OF BIRTH 4 17, 1892
10. AGE in Years79 Months2 Days26 | 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 (Late) Edith States 1953
16. NAME of Father Elija Taylor
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Frank States
address Mt. Denson, Hants Co.
Relationship to deceased Sister Law
21. Place of burial Mt. Denson United Church Cemetery, Hants Co., N. S.
Date of burial July 16, 1971
22. Undertaker Lindsays, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 13, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Note: African Nova Scotian