Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby male Bernard death at Halifax, Halifax County on September 6, 1970
Male Death Registration: Year: 1970 number: 5458
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005458
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Hospital
3. PRINT NAME OF DECEASED Bernard, Baby male
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 6, 1970
10. AGE in Years Months Days | 1 hrs or 20 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Peter V Bernard
17. BIRTHPLACE Halifax
18. NAME of Mother Margo Bernard
19. BIRTHPLACE Pictou
20. Signature of Informant Catherine Kyong
address Children's Hospital, Halifax
Relationship to deceased Doctor
21. Place of burial Hospital Burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 6, 1970
CAUSE OF DEATH
(a) prematurity
(b)
(c)
other
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