Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carleton Henry Bird death at Halifax, Halifax County on October 22, 1970
Male Death Registration: Year: 1970 number: 6229
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006229
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Bird, Carleton Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 10, 1914
10. AGE in Years55 Months10 Days12 | hrs or mins
11. Trade or profession Coal Grinder
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mrs Jean Bird
16. NAME of Father Henry Bird
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Jean Bird
address 1 Franklin St Apt #3 Dartmouth
Relationship to deceased Wife
21. Place of burial Mt. Hermon Cemty., Dartmouth
Date of burial Sat 24 Oct 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 22, 1970
CAUSE OF DEATH
(a) Broncho pneumonia
(b) Empysema
(c) Perforated esophog- .....
other
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