Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Burke death at Halifax, Halifax County on March 25, 1970
Male Death Registration: Year: 1970 number: 2558
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002558
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 Burke,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 25, 1970
10. AGE in Years Months Days | 3 hrs or 30 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
17. BIRTHPLACE
18. NAME of Mother Shirley Burke
19. BIRTHPLACE Halifax
20. Signature of Informant Shirley Burke
address 2556 Gottingen St. Halifax
Relationship to deceased Mother
21. Place of burial Hospital Burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1970
CAUSE OF DEATH
(a) Immaturity
(b) Premature Labour
(c)
other weight = 250 grams
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