Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Brown death at Halifax, Halifax County on December 21, 1971
Male Death Registration: Year: 1971 number: 7279
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007279
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 Brown, William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Malipac, Prince Edward Island
9. DATE OF BIRTH , 1890
10. AGE in Years81 Months Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. Joseph Brown
address MacNabs Island, Eastern Passage
Relationship to deceased Son
21. Place of burial St. Andrews, Eastern Passage
Date of burial December 23, 1971
22. Undertaker Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 21, 1971
CAUSE OF DEATH
(a) Gastrointestinal perforation
(b) Renal failure
(c)
other
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