Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Shawn Kenneth Stevens death at Halifax, Halifax County on May 3, 1970
Male Death Registration: Year: 1970 number: 3409
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003409
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity
3. PRINT NAME OF DECEASED Stevens, Shawn Kenneth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 30, 1970
10. AGE in Years Months Days3 | hrs or 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 Kenneth M Stevens
17. BIRTHPLACE Halifax
18. NAME of Mother Noreen Ryan
19. BIRTHPLACE Halifax
20. Signature of Informant Hospital Records
address Grace Maternity Hospital
Relationship to deceased none
21. Place of burial Hospital burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 3, 1970
CAUSE OF DEATH
(a) Respitatory Distress Syndrome
(b)
(c)
other
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