Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jeffrey William Baltzer death at Halifax, Halifax County on May 22, 1971
Male Death Registration: Year: 1971 number: 3545
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003545
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K. Hospital for Children
3. PRINT NAME OF DECEASED Baltzer, Jeffrey William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 20, 1971
10. AGE in Years Months Days1 | 5 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 William Kelley Baltzer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Betty Joyce
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William K. Baltzer
address Windsor, R.R.#1, Hants Co.
Relationship to deceased Father
21. Place of burial Lawrencetown, Anna. Co.
Date of burial May 22, 1971
22. Undertaker Warren T. Roop Ltd., Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 22, 1971
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other
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