Male Death Registration: Year: 1970 number: 6540
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006540
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution Saint Martha's Hospital
3. PRINT NAME OF DECEASED Atkins, John Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 10 28, 1970
10. AGE in Years Months Days | 3 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 Harvey Elliot Atkins
17. BIRTHPLACE Dork's Cove
18. NAME of Mother Linda H. Anna Delorey
19. BIRTHPLACE Mattie Settlement
20. Signature of Informant Harvey Elliot Atkins
address Halfway Cove, Guys. Co
Relationship to deceased Father
21. Place of burial Guysboro
Date of burial Oct 29, 1970
22. Undertaker Harvey Elliot Atkins, Halfway Cove (Father)
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 29, 1970
CAUSE OF DEATH
(a) Respiratory distress
(b) prematurity
(c)
other abruptio placentae
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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