Male Death Registration: Year: 1971 number: 1644
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001644
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
3. PRINT NAME OF DECEASED Burke, Russell St. Clair
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Lower Cornwall
9. DATE OF BIRTH 6 2, 1892
10. AGE in Years78 Months7 Days30 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 1960 14. Total years
15. If married name of spouse
16. NAME of Father JAMES BURKE
17. BIRTHPLACE UPPER CORNWALL LUN CO
18. NAME of Mother ALICE VEINOTTE
19. BIRTHPLACE CORNWALL LUN CO
20. Signature of Informant MAIRI DIAMOND
address R R # 2 Lunenburg
Relationship to deceased neice
21. Place of burial middle cornwall
Date of burial feb 3 , 1971
22. Undertaker MATON FUNERAL HOME MAHONE BAY
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 1, 1971
CAUSE OF DEATH
(a) COMPLETE HEART BLOCK
(b) ARTERIOSCLEROSIS
(c)
other ? syndrome
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493722
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