Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Baby B Mason death at Halifax, Halifax County on June 16, 1971
Male Death Registration: Year: 1971 number: 3971
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003971
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Mason, Baby B
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 15, 1971
10. AGE in Years Months Days | 15 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 Wilfred Mason
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Helen Asprey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant M Kempton
address Grace Maternity Hospital
Relationship to deceased
21. Place of burial hospital burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1971
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) prematurity
(c)
other Asphyxia neonatorum
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