Male Death Registration: Year: 1971 number: 6029
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006029
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Nova Scotia Sanatorium
3. PRINT NAME OF DECEASED Soulsby, William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 10 17, 1886
10. AGE in Years84 Months11 Days15 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry
13. Date last worked 1952 14. Total years 30 years
15. If married name of spouse Hannah Soulsby
16. NAME of Father George Soulsby
17. BIRTHPLACE England
18. NAME of Mother Elizabeth Robson
19. BIRTHPLACE England
20. Signature of Informant Records for N.S. Sanatorium Mr. George Soulsby
address 7 Laurels Lane, Halifax
Relationship to deceased Son
21. Place of burial Pine Grove Cemetery, Shelburne
Date of burial October 4, 1971
22. Undertaker Huskilson Funeral Home Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1971
CAUSE OF DEATH
(a) Bilateral Broncopneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498102
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