Male Death Registration: Year: 1971 number: 6486
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006486
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Dares, Medford William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Oakland
9. DATE OF BIRTH 5 24, 1885
10. AGE in Years88 Months5 Days10 | hrs or mins
11. Trade or profession Retired Fish Dealer
12. Kind of industry Fishery
13. Date last worked 1946 14. Total years 20
15. If married name of spouse Susan Dares (deceased)
16. NAME of Father William Dorey (changed to Dares in later years)
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Roseina Carver
19. BIRTHPLACE Newburn, Lunenburg Co., NS
20. Signature of Informant Mrs. Dorothy Bryne
address Centre, Lunenburg Co., NS
Relationship to deceased Daughter
21. Place of burial Lunenburg, NS
Date of burial 7 November 1971
22. Undertaker Dana L. Sweeny Funeral Home Ltd., Lunenburg, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1971
CAUSE OF DEATH
(a) Lymphatic Leukemia
(b)
(c)
other Arteriosclerotic Heart Disease and Old Age
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498559
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