Male Death Registration: Year: 1970 number: 6650
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006650
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 Burrell, Robert Leonard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Ontario
9. DATE OF BIRTH 6 10, 1899
10. AGE in Years71 Months5 Days1 | hrs or mins
11. Trade or profession Retired
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
19. BIRTHPLACE
20. Signature of Informant Arnold Harrington
address Chester
Relationship to deceased Son-in-law
21. Place of burial Hillcrest Memorial, Lr Sackville
Date of burial Nov. 14, 1970
22. Undertaker Snow and Company, Limited, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 11, 1970
CAUSE OF DEATH
(a) Acute Leukemia
(b)
(c)
other Diffuse Gastrointestinal bleeding
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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