Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Matheson Black death at Oxford, Cumberland County on September 22, 1971
Male Death Registration: Year: 1971 number: 6612
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006612
1. PLACE OF DEATH County of Cumberland If in City or Town Oxford
3. PRINT NAME OF DECEASED Black, William Matheson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 9, 1919
10. AGE in Years51 Months9 Days13 | hrs or mins
11. Trade or profession Principal
12. Kind of industry Education
13. Date last worked Sept 17/71 14. Total years 8
15. If married name of spouse Jean Black
16. NAME of Father Charles Guy Black
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Matheson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jean Black
address Smith St, Oxford, NS
Relationship to deceased wife
21. Place of burial Pinegrove Cemetery, Oxford
Date of burial Sept 25, 1971
22. Undertaker F. A. Black
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 22, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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