Male Death Registration: Year: 1971 number: 6434
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006434
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Hepenstall, William Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Redcross, Wicklow, Southern Ireland
9. DATE OF BIRTH 3 20, 1898
10. AGE in Years73 Months7 Days15 | hrs or mins
11. Trade or profession Manufacturing Agent
12. Kind of industry
13. Date last worked 6 November 1971 14. Total years 22 years
15. If married name of spouse Gladys Evelyn Hepenstall
16. NAME of Father Thomas Hepenstall
17. BIRTHPLACE Ireland
18. NAME of Mother Florence Howard
19. BIRTHPLACE Ireland
20. Signature of Informant Gladys Hypenstall
address 5831 Point Pleasant Drive, Halifax, NS
Relationship to deceased Wife
21. Place of burial St. John, New Brunswick
Date of burial 4 November 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1971
CAUSE OF DEATH
(a) Acute Myeloblastic Leukemia
(b) Sesultant Anemia
(c) Hypoprothrombinemia
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498507
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