Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Scott William Creaser death at Halifax, Halifax County on May 14, 1970
Male Death Registration: Year: 1970 number: 3411
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003411
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Hospital
3. PRINT NAME OF DECEASED Creaser, Scott William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 11, 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 William Creaser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Dianne Corkum
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John Gatier
address 5672 Fenwick St, Halifax
Relationship to deceased Resident physician attending
21. Place of burial Feltzen South Cemetery, Lun. Co.
Date of burial May 16, 1970
22. Undertaker Sana L Sweeny Funeral Home Ltd, Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 14, 1970
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) Prematurity
(c) Severe Asphyxia Neonatorum
other Severe hyperglycemia Congestive Heart Failure Congenital Heart Disease
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