Male Death Registration: Year: 1971 number: 4164
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004164
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Burbidge, Harold Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 21, 1927
10. AGE in Years43 Months8 Days28 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1971 14. Total years 23
15. If married name of spouse
16. NAME of Father Thomas Burbidge
17. BIRTHPLACE Wolfville, NS
18. NAME of Mother Grace Cleveland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Richard Burbidge
address 32 Gerrish St. Windsor, NS
Relationship to deceased brother
21. Place of burial Maplewood, Windsor, NS
Date of burial June 20, 1971
22. Undertaker R D Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 18, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496239
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