Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby Tupper death at Halifax, Halifax County on September 3, 1970
Male Death Registration: Year: 1970 number: 5329
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005329
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 Tupper, Baby
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 3, 1970
10. AGE in Years Months Days | 2 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 Charles Tupper
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jackie Boutilier
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charles Tupper
address St. Margaret's Bay, Halifax, Co.
Relationship to deceased Father
21. Place of burial St. Margaret's Bay Cemetery
Date of burial September 4, 1970
22. Undertaker R. D. Lindsay Funeral Home, LTD.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1970
CAUSE OF DEATH
(a) Potter's Syndrome
(b)
(c)
other
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