Male Death Registration: Year: 1970 number: 1811
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001811
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K. Hospital for Children
3. PRINT NAME OF DECEASED Moreside, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 2 15, 1970
10. AGE in Years Months Days2 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Barry Moreside
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Murna Crane
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Mr. B. Moreside ??
address Milton, Queen Co., Prince Edward Island
Relationship to deceased Father
21. Place of burial Charlottetown, Prince Edward Island
Date of burial Feb. 18, 1970
22. Undertaker Halifax Funeral Home, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 17, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Congenital Heart Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487125
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