Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby Boy Johnston death at Halifax, Halifax County on April 6, 1971
Male Death Registration: Year: 1971 number: 2837
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002837
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Johnston, Baby Boy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 3, 1971
10. AGE in Years Months Days3 | 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 Barbara Johnston
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mother & Baby Charts
address B Clements
Relationship to deceased Grace Maternity
21. Place of burial IWK Pathology Lab-Hospital burial
Date of burial Apr 6, 1971
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 6, 1971
CAUSE OF DEATH
(a) Congenital Epidermolysis Bullosa
(b)
(c)
other Prematurity Pulmonary Disease
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