Male Death Registration: Year: 1971 number: 2266
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002266
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital, Amherst
3. PRINT NAME OF DECEASED Morse, Brian George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 3 8, 1971
10. AGE in Years Months Days | 12 hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse n/a
16. NAME of Father Brian Martin
17. BIRTHPLACE Amherst
18. NAME of Mother Mary Morse
19. BIRTHPLACE Amherst
20. Signature of Informant Mrs. Jean Morse
address 6 Belliveau St., Amherst
Relationship to deceased Mother
21. Place of burial Amherst
Date of burial March 10, 1971
22. Undertaker Campbell's Funeral Home, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 9, 1971
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494343
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