Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lavigne death at Halifax, Halifax County on August 2, 1970
Male Death Registration: Year: 1970 number: 5449
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005449
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution TSAA Wilton Hospital
3. PRINT NAME OF DECEASED Lavigne,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Campbellton, New Brunswick
9. DATE OF BIRTH 7 29, 1970
10. AGE in Years Months Days4 | hrs or mins
11. Trade or profession None
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father W.M. Lavigne
17. BIRTHPLACE New Brunswick
18. NAME of Mother Audrey Lavesque
19. BIRTHPLACE New Brunswick
20. Signature of Informant Allo Moher
address 33 Landsdowne Street, Campbellton, New Brunswick
Relationship to deceased None
21. Place of burial Campbellton, New Brunswick
Date of burial August 5, 1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 2, 1970
CAUSE OF DEATH
(a) Pulmonary hemorrhage
(b) Prematurity
(c)
other Respiratory Distress Syndrome
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