Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Walter Howard Burgess death at Newport Station, Hants County on April 12, 1971
Male Death Registration: Year: 1971 number: 2786
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002786
1. PLACE OF DEATH County of Hants If in City or Town Newport Station
3. PRINT NAME OF DECEASED Burgess, Walter Howard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newport Station
9. DATE OF BIRTH 4 24, 1901
10. AGE in Years69 Months11 Days18 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Muriel Thompson
16. NAME of Father Joseph Burgess
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Etchels
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joseph Burgess
address 40 Yendys Street, Sydney, NS
Relationship to deceased Son
21. Place of burial St. Croix Cemetery, St Croix, NS
Date of burial April 17, 1971
22. Undertaker Lohnes Funeral Service Ltd., Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 12, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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