Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Phillips death at Halifax, Halifax County on July 22, 1970
Male Death Registration: Year: 1970 number: 4617
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004617
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Phillips,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 7 15, 1970
10. AGE in Years Months Days7 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Carol Phillips
19. BIRTHPLACE Moncton, New Brunswick
20. Signature of Informant Carol Phillips
address 108 Reade Street, Moncton, New Brunswick
Relationship to deceased Mother
21. Place of burial Fairview Cemetery, Halifax
Date of burial 6 August 1970
22. Undertaker Halifax Funeral Home, Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1970
CAUSE OF DEATH
(a) Septicemia
(b) Premature Labour
(c) Respiratory Failure
other Immaturity
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