Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby Boy Gauthier death at Halifax, Halifax County on January 3, 1971
Male Death Registration: Year: 1971 number: 1055
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001055
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hospital
3. PRINT NAME OF DECEASED Gauthier, Baby Boy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 3, 1971
10. AGE in Years Months Days1 | hrs or mins
11. Trade or profession
12. Kind of industry Infant
13. Date last worked 14. Total years
15. If married name of spouse Infant
16. NAME of Father Ronald Gauthier
17. BIRTHPLACE Amherst
18. NAME of Mother Nancy Johnson
19. BIRTHPLACE Amherst
20. Signature of Informant Ronald Gauthier
address 22 Park St., Amherst
Relationship to deceased Father
21. Place of burial Fairview Cemetery, HFX
Date of burial January 7, 1971
22. Undertaker R.D. Lindsay Funeral Home Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1971
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) Prematurity
(c)
other
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