Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Horatio Walters death at Halifax, Halifax County on October 9, 1971
Male Death Registration: Year: 1971 number: 5976
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005976
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa Nursing Home
3. PRINT NAME OF DECEASED Walters, William Horatio
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
single
8. BIRTHPLACE West Indies
9. DATE OF BIRTH 12 17, 1891
10. AGE in Years79 Months9 Days22 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1960 14. Total years 30 years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Orvella Flint
address 2013 Maynard Street, Halifax, NS
Relationship to deceased Daughter
21. Place of burial Fairview Cemetery, Halifax, NS
Date of burial 13 October 1971
22. Undertaker R. D. Lindsay, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 9, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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