Male Death Registration: Year: 1970 number: 2210
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002210
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Carcinoma of pancreas
3. PRINT NAME OF DECEASED Burgess, Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 24, 1895
10. AGE in Years74 Months4 Days20 | hrs or mins
11. Trade or profession Metal Worker - retired
12. Kind of industry W.A. Moir Ltd
13. Date last worked 1963 14. Total years 30
15. If married name of spouse Mary A. MacRary
16. NAME of Father Thomas Burgess
17. BIRTHPLACE England
18. NAME of Mother Mary Kenney
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Mary Young
address 2 George St. Bedford
Relationship to deceased Daughter
21. Place of burial Hillcrest Memorial Gardens, Lower Sackville
Date of burial March 19, 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 16, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487523
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