Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick Graham Burgess death at Halifax, Halifax County on February 10, 1970
Male Death Registration: Year: 1970 number: 1683
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001683
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Burgess, Frederick Graham
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE South Maitland
9. DATE OF BIRTH 2 23, 1875
10. AGE in Years94 Months11 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Army Major
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alfred Burgess
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ruth Graham
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss Mae Burgess
address South Maitland
Relationship to deceased Sister
21. Place of burial South Maitland
Date of burial February 12 1970
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 10, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Pyelitis
(c)
other Diabetes Atherosclerosis
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