Male Death Registration: Year: 1970 number: 1931
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001931
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Burrill, James Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 6 30, 1882
10. AGE in Years87 Months7 Days27 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Merchant
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Henry Burrill
17. BIRTHPLACE Yarmouth
18. NAME of Mother Louisa Hilton
19. BIRTHPLACE Yarmouth
20. Signature of Informant Victor Ross Burrill
address Kemptville, Yarmouth
Relationship to deceased Nephew
21. Place of burial Yarmouth
Date of burial February 28, 1970
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 26, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487245
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