Male Death Registration: Year: 1971 number: 7543
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007543
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution on the street
3. PRINT NAME OF DECEASED Hines, Harry Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Grand Lake
9. DATE OF BIRTH 2 26, 1905
10. AGE in Years66 Months9 Days27 | hrs or mins
11. Trade or profession Retired
12. Kind of industry C.N.R. Section-Man
13. Date last worked 1969 14. Total years Life
15. If married name of spouse Lila
16. NAME of Father Christopher Hines
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hannah Isenor
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Floyd Singer
address Shubenacadie
Relationship to deceased Daughter
21. Place of burial Dutch Settlement
Date of burial December 26, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499615
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