Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Earl Vincent Hines death at Halifax, Halifax County on August 26, 1971
Male Death Registration: Year: 1971 number: 5221
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005221
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Hines, Earl Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 27, 1905
10. AGE in Years66 Months2 Days30 | hrs or mins
11. Trade or profession Boiler Operator
12. Kind of industry Brick Yard
13. Date last worked July 71 14. Total years life
15. If married name of spouse Gladys
16. NAME of Father John Hines
17. BIRTHPLACE NS
18. NAME of Mother Mary MacKay
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Earl Hines
address Lantz, Hants Co.
Relationship to deceased Wife
21. Place of burial Dutch Settlement, NS
Date of burial Aug 28, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 26, 1971
CAUSE OF DEATH
(a) Peritonitis
(b) Abdominal Abscess
(c)
other Cholecystitis Pancreatitis
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