Male Death Registration: Year: 1970 number: 7208
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007208
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Burbine, Elmer Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Minudie, NS
9. DATE OF BIRTH 3 3, 1900
10. AGE in Years70 Months9 Days4 | hrs or mins
11. Trade or profession Foreman of community pasture
12. Kind of industry
13. Date last worked 1 yr ago 14. Total years 15
15. If married name of spouse Mabel Burbine
16. NAME of Father Phyllip Burbine
17. BIRTHPLACE Minudie, NS
18. NAME of Mother Mary LeBlanc
19. BIRTHPLACE New Brunswick
20. Signature of Informant Kenneth S Burbine
address River Hebert, NS
Relationship to deceased Son
21. Place of burial Minudie, NS
Date of burial Dec 10 1970
22. Undertaker Furlong's Buneral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 7, 1970
CAUSE OF DEATH
(a) Metastic carcinoma of Lung
(b) Sarcoma of Leg
(c)
other Chronic Bronchitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492514
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