Male Death Registration: Year: 1971 number: 6992
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006992
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camphill Hospital
3. PRINT NAME OF DECEASED Doubleday, Herbert George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 8 13, 1897
10. AGE in Years74 Months3 Days19 | hrs or mins
11. Trade or profession Retired Driver
12. Kind of industry Department of Transportation
13. Date last worked 1963 14. Total years 17
15. If married name of spouse Lillian Frances Doubleday
16. NAME of Father Percy Doubleday
17. BIRTHPLACE Halifax, Nova Scotia
18. NAME of Mother Charlotte Harnish
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carl D Doubleday
address 7127 Oakley Ave Halifax, Nova Scotia
Relationship to deceased Son
21. Place of burial St. John's Cemetery
Date of burial December 6th, 1971
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 2, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499065
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