Male Death Registration: Year: 1971 number: 3641
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003641
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hospital
3. PRINT NAME OF DECEASED Young, John Andrew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Berwick
9. DATE OF BIRTH 5 20, 1971
10. AGE in Years Months Days8 | 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 John Young
17. BIRTHPLACE Toronto, Ont.
18. NAME of Mother Olivia Sanford
19. BIRTHPLACE Berwick, NS
20. Signature of Informant Information taken from Clerk
address
Relationship to deceased
21. Place of burial St. Marys, Auburn, Kings Co., NS
Date of burial May 31, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd., Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 28, 1971
CAUSE OF DEATH
(a) Severe Respiratory Distress Syndrome
(b)
(c)
other Prematurity
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495717
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