Male Death Registration: Year: 1971 number: 6066
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006066
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Long, William Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 2, 1903
10. AGE in Years68 Months Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Dockyard
13. Date last worked 1966 14. Total years 32
15. If married name of spouse Dorothy Long
16. NAME of Father Edward Long
17. BIRTHPLACE Halifax
18. NAME of Mother Elizabeth O'Brien
19. BIRTHPLACE Halifax
20. Signature of Informant William Long Jr.
address 63 Glen Forest Dr. Halifax
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lower Sackville
Date of burial October 22, 1971
22. Undertaker Cruikshanks Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 19, 1971
CAUSE OF DEATH
(a) Chronic obstructive Lung disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498139
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