Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ora Melbourne Haines death at Bridgewater, Lunenburg County on October 27, 1971
Male Death Registration: Year: 1971 number: 6278
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006278
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
3. PRINT NAME OF DECEASED Haines, Ora Melbourne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 4, 1888
10. AGE in Years83 Months5 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Deceased
16. NAME of Father Ephrem Haines
17. BIRTHPLACE N. S.
18. NAME of Mother Annie Baker
19. BIRTHPLACE N. S.
20. Signature of Informant Mrs. Gilbert Schnare
address 48 Aberdeen Rd. Bridgewater
Relationship to deceased Daughter
21. Place of burial Bridgewater
Date of burial October 29, 1971
22. Undertaker Charles Sweeney, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b)
(c) Arteriosclerosis
other Hypertension
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