Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby Boy Burke death at Halifax, Halifax County on July 21, 1970
Male Death Registration: Year: 1970 number: 4727
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004727
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Burke, Baby Boy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 7 21, 1970
10. AGE in Years Months Days | 1 hrs or 8 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 Jerome Burke
17. BIRTHPLACE Arichat,
18. NAME of Mother Eileen Boudreau
19. BIRTHPLACE Arichat
20. Signature of Informant M. Kempton
address Grace Maternity Hospital
Relationship to deceased
21. Place of burial Hospital Burial E.M.F.
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 21, 1970
CAUSE OF DEATH
(a) Multiple congenital anomalies
(b)
(c)
other
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