Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur P Burgess death at Halifax, Halifax County on August 15, 1970
Male Death Registration: Year: 1970 number: 4891
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004891
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 Burgess, Arthur P
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Hants County
9. DATE OF BIRTH 2 28, 1895
10. AGE in Years75 Months5 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry C.N.R.
13. Date last worked 14. Total years
15. If married name of spouse Lily Moxon
16. NAME of Father Albert Ward
17. BIRTHPLACE Hants County
18. NAME of Mother Elmira MacMichael
19. BIRTHPLACE Hants County
20. Signature of Informant Mrs. Lily Burgess
address 5529 Livingstone Place Halifax
Relationship to deceased wife
21. Place of burial Hillcrest Memorial Gardens Sackville
Date of burial August 18, 1970
22. Undertaker R.D. Lindsay Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1970
CAUSE OF DEATH
(a) Bile Peritonitis
(b) Perforated empyema of Gall Bladder
(c) Brain Abcess
other Pulmonary embolus Myocardial Infact. Brain Abcess
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