Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Guptill death at Halifax, Halifax County on July 22, 1970
Male Death Registration: Year: 1970 number: 4728
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004728
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital, Halifax
3. PRINT NAME OF DECEASED Guptill,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 22, 1970
10. AGE in Years Months Days | hrs or 10 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 Wayne Guptill
17. BIRTHPLACE Wolfville
18. NAME of Mother Betty Spencer
19. BIRTHPLACE Wolfville
20. Signature of Informant L. Neal
address Grace Maternity Hospital, Halifax
Relationship to deceased None
21. Place of burial Wolfville, Kings Co.
Date of burial 24 July 1970
22. Undertaker R. D. Lindsay Funeral Home, Windsor, Hants Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1970
CAUSE OF DEATH
(a) Obstructed Colon
(b) Prolonged Rupture
(c)
other
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