Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kenneth John Hickey death at Sambro, Halifax County on January 27, 1970
Male Death Registration: Year: 1970 number: 1497
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001497
1. PLACE OF DEATH County of Halifax If in City or Town Sambro
If death occured in a hospital or institution Sambro, Halifax Vo.
3. PRINT NAME OF DECEASED Hickey, Kenneth John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 8 22, 1965
10. AGE in Years5 Months5 Days5 | hrs or mins
11. Trade or profession Student
12. Kind of industry School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Hickey
17. BIRTHPLACE Halifax
18. NAME of Mother Marie Boudreau
19. BIRTHPLACE Halifax
20. Signature of Informant James T. Hickey
address Sambro, Halifax Co.
Relationship to deceased Father
21. Place of burial St. Peter’s Cemetery, Ketch Harbour
Date of burial Jan. 30, 1970
22. Undertaker Halifax Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 27, 1970
CAUSE OF DEATH
(a) Hemorrhage
(b) Ruptured liver
(c)
other
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