Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Fredric Augustus Hollis death at Halifax, Halifax County on November 11, 1971
Male Death Registration: Year: 1971 number: 6516
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006516
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General
3. PRINT NAME OF DECEASED Hollis, Fredric Augustus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Pugwash
9. DATE OF BIRTH 3 23, 1897
10. AGE in Years74 Months7 Days19 | hrs or mins
11. Trade or profession Retired
12. Kind of industry C.N.R.
13. Date last worked 14. Total years
15. If married name of spouse Adelia M. Hollis
16. NAME of Father Russel Hollis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Hane Hollis
address 27 Dentith Rd. Halifax
Relationship to deceased Son
21. Place of burial Fairview
Date of burial November 15, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 11, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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