Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby Cleveland death at Halifax, Halifax County on February 27, 1970
Male Death Registration: Year: 1970 number: 1942
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001942
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Cleveland, Baby
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 27, 1970
10. AGE in Years0 Months0 Days0 | 0 hrs or 5 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Lewis A Cleveland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Stevens
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Margaret Cleveland
address 76 Hawthorne St., Dartmouth
Relationship to deceased Mother
21. Place of burial Hospital Burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 27, 1970
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other
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