Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mark Gould Veysey death at Halifax, Halifax County on September 2, 1970
Male Death Registration: Year: 1970 number: 5959
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005959
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K. Hospital for Children
3. PRINT NAME OF DECEASED Veysey, Mark Gould
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Woodstock, New Brunswick
9. DATE OF BIRTH 8 26, 1970
10. AGE in Years0 Months0 Days7 | hrs or 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 Beryl Veysey
17. BIRTHPLACE New Brunswick
18. NAME of Mother Winnifred Gould
19. BIRTHPLACE New Brunswick
20. Signature of Informant Beryl Veysey
address Fosterville, York County, New Brunswick
Relationship to deceased Father
21. Place of burial Fosterville, New Brunswick
Date of burial Sept. 3, 1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 2, 1970
CAUSE OF DEATH
(a) Cloacal Exstrophy
(b) Sepsis
(c)
other
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