Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dennis Lee Fredericks death at Halifax, Halifax County on July 22, 1970
Male Death Registration: Year: 1970 number: 4368
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004368
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K. Hospital for Children
3. PRINT NAME OF DECEASED Fredericks, Dennis Lee
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 24, 1968
10. AGE in Years1 Months7 Days28 | 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 Frederick Fredericks
17. BIRTHPLACE Tupperville
18. NAME of Mother Penny Vennall?
19. BIRTHPLACE Coburg, Ontario
20. Signature of Informant Mrs. Frederick Fredericks
address RR#3 Bridgetown
Relationship to deceased Mother.
21. Place of burial Round Hill, Annapolis
Date of burial July 24, 1970
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1970
CAUSE OF DEATH
(a) Intrology? of Fallot?
(b)
(c)
other
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