Male Death Registration: Year: 1971 number: 2801
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002801
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution D M Hospital
3. PRINT NAME OF DECEASED Woodworth, Baby Boy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 9, 1971
10. AGE in Years Months Days | 2 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 Robert Woodworth
17. BIRTHPLACE NS
18. NAME of Mother Glenda Wagner
19. BIRTHPLACE NS
20. Signature of Informant Robert Woodworth
address Bridgewater, NS
Relationship to deceased father
21. Place of burial Bridgewater, NS
Date of burial Apr 10, 1971
22. Undertaker Charles Sweeney, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1971
CAUSE OF DEATH
(a) Primary Atelectasis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494878
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