OntarioGenWeb
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Ontario Vital Statistics Death Registration Form
1907-1909
   
  No. No.
Microfilm #    
Registration #    
County    
Division    
Name of Deceased    
Sex     
Date of Death     
Age     
Residence, Street No. or Concession and Lot    
Occupation    
Single or Married    
If Single give name of Father    
If Married, give name of Husband    
Where Born    
Cause of Death    
Length of Illness    
Name of Physician in Attendance    
Religious Denomination    
Name of Person making Return    
Date of Registration    
Remarks    
   
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