Male Death Registration: Year: 1971 number: 5198
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005198
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Milton, William Harvey
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Bayfield, New Brunswick
9. DATE OF BIRTH 8 6, 1903
10. AGE in Years68 Months0 Days24 | hrs or mins
11. Trade or profession Commercial Travellor
12. Kind of industry Retail Merchants Ltd.
13. Date last worked 1964 14. Total years 10 yrs
15. If married name of spouse Elva (Unknown)
16. NAME of Father Richard Milton
17. BIRTHPLACE N.B.
18. NAME of Mother Margaret Goodwin
19. BIRTHPLACE N.B.
20. Signature of Informant Mrs. W.H. Milton
address P.O. Box 72, Lakeside, Hfx. Co.
Relationship to deceased Wife
21. Place of burial Moncton, N.B.
Date of burial Sept. 3, 1971
22. Undertaker Halifax Funeral Home Ltd. Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 30, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497272
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