Male Death Registration: Year: 1971 number: 3120
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003120
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Burns, Michael Pierce
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Hammonds Plains
9. DATE OF BIRTH 8 26, 1901
10. AGE in Years69 Months8 Days5 | hrs or mins
11. Trade or profession Retired Salesman
12. Kind of industry Canada Packers Ltd.
13. Date last worked 1968 14. Total years 20
15. If married name of spouse Mary Burns
16. NAME of Father William Burns
17. BIRTHPLACE Hammonds Plains
18. NAME of Mother Nora Cashen
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mary Burns
address Hammonds Plains
Relationship to deceased Wife
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial May 4, 1971
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 1, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495196
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