Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Norman Basil Samson death at Halifax, Halifax County on June 20, 1970
Male Death Registration: Year: 1970 number: 4105
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
note: transcription publicly contributed - please contact us with comments, errors or omisions
PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004105
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hosp. for Children
3. PRINT NAME OF DECEASED Samson, Norman Basil
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 29, 64
10. AGE in Years5 Months11 Days22 | 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 Basil Samson
17. BIRTHPLACE Nova Scotia.
18. NAME of Mother Alfreda LeBlanc
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Basil J. Samson
address RR#2 St. Peters
Relationship to deceased Father
21. Place of burial St Peter's R.C. Cemetery
Date of burial June 22. 1970
22. Undertaker Alex A Morrison, St. Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 20, 1970
CAUSE OF DEATH
(a) Aspiration Pneumonia
(b) Congestive Heart Failure
(c) Tetralogy of Fallot - part surgical correction
other Possible Bronchopneumonia
Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.