Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Infant Johnson death at Amherst, Cumberland County on January 3, 1971
Male Death Registration: Year: 1971 number: 1113
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001113
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 Johnson, Infant
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 12 30, 1970
10. AGE in Years Months Days3 | hrs or 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 Bruce William Cormier (not married)
17. BIRTHPLACE Amherst
18. NAME of Mother Sandra Johnson (not married)
19. BIRTHPLACE Amherst
20. Signature of Informant Bruce W. Cormier
address 26 Newton Ave., Amherst
Relationship to deceased Father
21. Place of burial Highland Cemetery, Amherst
Date of burial January 5, 1971
22. Undertaker Campbell's Funeral Home, 98 Church St., Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1971
CAUSE OF DEATH
(a) Congenital Atalectasis
(b) Prematurity
(c)
other
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