Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Isaiah Burgess death at Shubenacadie, Hants County on February 26, 1971
Male Death Registration: Year: 1971 number: 2040
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002040
1. PLACE OF DEATH County of Hants If in City or Town Shubenacadie
3. PRINT NAME OF DECEASED Burgess, Isaiah
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Maitland, Hants County Nova Scotia
9. DATE OF BIRTH 11 3, 1883
10. AGE in Years87 Months3 Days28 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked Dec' 70 14. Total years Life
15. If married name of spouse
16. NAME of Father Nelson Burgess
17. BIRTHPLACE NS
18. NAME of Mother Lydia Singer
19. BIRTHPLACE NS
20. Signature of Informant Mrs Emma Hebb
address Shubenacadie, NS
Relationship to deceased
21. Place of burial Gays River, NS
Date of burial 1 Mar 71
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 26, 1971
CAUSE OF DEATH
(a) Cerebral Vascular Accident
(b) Athersclerosis
(c)
other
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