Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stacy Wade Prime death at Digby, Digby County on January 16, 1971
Male Death Registration: Year: 1971 number: 1244
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001244
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Digby General Hospital
3. PRINT NAME OF DECEASED Prime, Stacy Wade
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Digby
9. DATE OF BIRTH 1 15, 1971
10. AGE in Years Months Days1 | 4 hrs or 7 mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Henry Prime
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Carolyn Outhouse
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Chester Outhouse
address Tiverton
Relationship to deceased Grandmother
21. Place of burial Tiverton
Date of burial January 19, 1971
22. Undertaker Jayne's Funeral Home Ltd., Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) R.D.S.
(b)
(c)
other
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