Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jeffery David Robertson death at Windsor, Hants County on September 23, 1970
Male Death Registration: Year: 1970 number: 5669
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005669
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Robertson, Jeffery David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 23, 1970
10. AGE in Years0 Months0 Days0 | 0 hrs or 16 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
17. BIRTHPLACE
18. NAME of Mother Jo Anne Robertson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jack Robertson
address 288 Nesbitt St., Windsor
Relationship to deceased Grandfather
21. Place of burial St. Johns, Windsor
Date of burial 26 September 1970
22. Undertaker RD Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 23, 1970
CAUSE OF DEATH
(a) Prematurity
(b) Twin pregnancy approx 26 weeks gestation
(c)
other
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