Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Herbert Arnold Burnham death at Halifax, Halifax County on January 4, 1971
Male Death Registration: Year: 1971 number: 1021
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001021
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution St. Vincents Guest House
3. PRINT NAME OF DECEASED Burnham, Herbert Arnold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Falmouth, Hants County
9. DATE OF BIRTH 8 31, 1895
10. AGE in Years75 Months4 Days4 | hrs or mins
11. Trade or profession Carpenter - Retd
12. Kind of industry Hfx. School Board
13. Date last worked 1960 14. Total years 10
15. If married name of spouse Bertha I. Burnham
16. NAME of Father John W. Burnham
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida King
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. C. Forsyth
address 38 Auburn Ave. (Spryfield), Hfx.
Relationship to deceased Sister
21. Place of burial Hillcrest Memorial Gardens, Lr. Sackville
Date of burial January 6, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Diabetes Mellitus
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