Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Baby Boy Moore death at Sydney, Cape Breton County on May 13, 1971

Male Death Registration: Year: 1971 number: 3571

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003571

1. PLACE OF DEATH   County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sidney City Hospital

3. PRINT NAME OF DECEASED Moore, Baby Boy

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

single

8. BIRTHPLACE Cape Breton County

9. DATE OF BIRTH 5  13, 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 Frank Moore

17. BIRTHPLACE Pleasant Bay

18. NAME of Mother Jean Hamilton

19. BIRTHPLACE Pleasant Bay

20. Signature of Informant Frank Moore

      address Pleasant Bay, Inv. Co.

      Relationship to deceased Father

21. Place of burial Pleasant Bay

      Date of burial May 14, 1971

22. Undertaker L.L. Chaisson & Son, Cheticamp, N.S

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 13, 1971

CAUSE OF DEATH

(a) Immaturity

(b) Abruptio Placenta

(c) 5 1/2 months premature

other Premature Labor

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495647

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