Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Wilfred Allan Shaw death at Halifax, Halifax County on December 19, 1971
Male Death Registration: Year: 1971 number: 7342
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007342
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Shaw, Wilfred Allan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 4, 1916
10. AGE in Years55 Months6 Days15 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Anne Shaw
16. NAME of Father Wyman Shaw
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elida Corkum
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. W.A. Shaw
address 42 Aberdeen St. Truro
Relationship to deceased Wife
21. Place of burial Watson Cemetery, Salmon River
Date of burial December 22, 1971
22. Undertaker Mattatall Funeral Home Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 19, 1971
CAUSE OF DEATH
(a) Pulmonary Embelism
(b)
(c)
other
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