Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby Boy England death at Antigonish, Antigonish County on June 14, 1970
Male Death Registration: Year: 1970 number: 3927
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003927
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED England, Baby Boy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE St. Martha's Hospital, Antigonish
9. DATE OF BIRTH 6 14, 1970
10. AGE in Years Months Days | 1 hrs or 45 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 Edward W England
17. BIRTHPLACE Hech Creek
18. NAME of Mother Caroll Clancy
19. BIRTHPLACE Mulgrave
20. Signature of Informant Edward W England
address Mulgrave
Relationship to deceased Father
21. Place of burial Mulgrave
Date of burial June 14, 1970
22. Undertaker Edward W. England, Mulgrave
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 14, 1970
CAUSE OF DEATH
(a) Respiratory failure
(b) Multiple Congenital Anomalies of face, feet, head, genetals, neck
(c)
other
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