Male Death Registration: Year: 1970 number: 7277
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007277
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED George, Bernard Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE St. Martha's Hospital, Antigonish
9. DATE OF BIRTH 12 10, 1970
10. AGE in Years Months Days | hrs or 2 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 Albert Bruce George
17. BIRTHPLACE Mannassatte Lake
18. NAME of Mother Theresa Victoria Delaney
19. BIRTHPLACE Half Way Cove
20. Signature of Informant Theresa George
address RR#1 Mulgrave
Relationship to deceased mother
21. Place of burial Mulgrave
Date of burial Dec 12, 1970
22. Undertaker Mr. Albert Bruce George "Father" RR#1 Mulgrave
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 10, 1970
CAUSE OF DEATH
(a) circumvallate placenta
(b) Immaturity 1lb 3oz
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492583
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