Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Burgess death at Halifax, Halifax County on March 10, 1971
Male Death Registration: Year: 1971 number: 2189
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002189
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 6269 Cork St. apt 6
3. PRINT NAME OF DECEASED Burgess, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Ayr, Scotland
9. DATE OF BIRTH 5 31, 1904
10. AGE in Years66 Months9 Days10 | hrs or mins
11. Trade or profession retired
12. Kind of industry Steamship inspector federal government
13. Date last worked Jan 10/69 14. Total years 25 yrs
15. If married name of spouse Thelma Burgess
16. NAME of Father Thomas Burgess
17. BIRTHPLACE Scotland
18. NAME of Mother Margaret Skelley
19. BIRTHPLACE Scotland
20. Signature of Informant Mrs. Thelma Burgess
address 6269 Cork Street, Haliax
Relationship to deceased wife
21. Place of burial Riverside Cemetery, Chatham, NB
Date of burial March 12, 1971
22. Undertaker Cruickshank Funeral Home Limited.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 10, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) hypertension
(c) arteriosclerosis
other hypothyroidism
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