Male Death Registration: Year: 1970 number: 3134
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003134
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Burbine, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE River Hebert
9. DATE OF BIRTH 7 28, 1915
10. AGE in Years54 Months8 Days19 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 17 Feb 1970 14. Total years life
15. If married name of spouse Thelma A Burbine
16. NAME of Father Simon Burbine
17. BIRTHPLACE Cumberland County
18. NAME of Mother Isabel Comeau
19. BIRTHPLACE Cumberland County
20. Signature of Informant Mrs Thelma Burbine
address River Hebert
Relationship to deceased Wife
21. Place of burial River Hebert East
Date of burial 19 Apr 1970
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 16, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488444
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