Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Steven Paul Hines death at Halifax, Halifax County on August 16, 1971
Male Death Registration: Year: 1971 number: 5082
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005082
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Children's Hospital
3. PRINT NAME OF DECEASED Hines, Steven Paul
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 12, 1968
10. AGE in Years3 Months2 Days4 | 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 Foster Hines
17. BIRTHPLACE NS
18. NAME of Mother Georgina Ruggles
19. BIRTHPLACE NS
20. Signature of Informant Foster Hines
address RR#1 Lantz, NS
Relationship to deceased Father
21. Place of burial Dutch Settlement, NS
Date of burial 18 Aug '71
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Multiple Head Injuries
(b) Struck by lumber
(c)
other Accident
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