Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank Hay Burt death at Halifax, Halifax County on January 29, 1971
Male Death Registration: Year: 1971 number: 1415
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001415
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Lord Nelson Hotel, South Park St.
3. PRINT NAME OF DECEASED Burt, Frank Hay
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Listowel, Ont.
9. DATE OF BIRTH 5 9, 1887
10. AGE in Years83 Months8 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Commercial Traveller
13. Date last worked Jan/70 14. Total years 60
15. If married name of spouse
16. NAME of Father C.K. Burt
17. BIRTHPLACE Ontario
18. NAME of Mother Catherine Hay
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs. Fanny Burt
address Royal St., Listowel, Ont.
Relationship to deceased Sister-in-Law
21. Place of burial Listowel, Ont.
Date of burial January 31, 1971
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 29, 1971
CAUSE OF DEATH
(a) Asphyxiation
(b) Hanging
(c)
other
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