Male Death Registration: Year: 1971 number: 2278
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002278
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution 28 Jackson Rd Dartmouth NS
3. PRINT NAME OF DECEASED Messervey, Kevin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 7 22, 1970
10. AGE in Years Months7 Days16 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Sharon Messervey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Children's Aid (Miss McLeod)
address 5236 South St Halifax
Relationship to deceased
21. Place of burial Mt Hermon, Dartmouth
Date of burial March 12, 1971
22. Undertaker Mattatalls Funeral Home Ltd, Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 10, 1971
CAUSE OF DEATH
(a) bronchopneumonia
(b)
(c)
other Mongolism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494355
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