Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Jubber death at Halifax, Halifax County on August 18, 1970

Male Death Registration: Year: 1970 number: 5958

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005958

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Children's Hospital

3. PRINT NAME OF DECEASED Jubber,

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Prince Edward Island

9. DATE OF BIRTH 8  17, 70

10. AGE in  Years  Months  Days1 | 24 hrs or 40 mins

11. Trade or profession

12. Kind of industry Infant.

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Charles  Jubber

17. BIRTHPLACE Prince Edward Island

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Records

      address Childrens Hospital

      Relationship to deceased Hospital

21. Place of burial Charlettown Prince Edward Island.

      Date of burial Aug 20 1970

22. Undertaker R.D. Lindsay Halifax

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 18, 1970

CAUSE OF DEATH

(a) Atelectasis (collapsed lung)

(b) Prematurity

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491266

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