Male Death Registration: Year: 1971 number: 7717
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007717
1. PLACE OF DEATH County of Shelburne If in City or Town Upper Clyde
3. PRINT NAME OF DECEASED Harris, William Clinton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 6, 1904
10. AGE in Years69 Months2 Days5 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1971 14. Total years 48
15. If married name of spouse Annie Harris
16. NAME of Father Ruben Harris
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sadie Ryer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Annie E. Harris
address Upper Clyde
Relationship to deceased Wife
21. Place of burial Lower Ohio
Date of burial December 14, 1971
22. Undertaker Huskilson Funeral Home, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 11, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) ASHD
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499789
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