Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peter Clifton Farnsworth death at Halifax, Halifax County on May 26, 1971
Male Death Registration: Year: 1971 number: 3540
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003540
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Isaak Walton Killam Hospital for Children
3. PRINT NAME OF DECEASED Farnsworth, Peter Clifton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 5, 1971
10. AGE in Years Months1 Days51 | 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 Clifton Farnsworth
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Yvonne Cullen
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John Gothier
address 5672 Fenwick Street, Halifax
Relationship to deceased
21. Place of burial Holy Cross Cemetery, North Sydney, NS
Date of burial May 27, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 26, 1971
CAUSE OF DEATH
(a) Encephalitis
(b)
(c)
other Fatty Liver & Cerebral Edema
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