Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alfred Francis Myers death at Halifax, Halifax County on August 4, 1971
Male Death Registration: Year: 1971 number: 4885
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004885
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, Halifax, NS
3. PRINT NAME OF DECEASED Myers, Alfred Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 7 21, 1971
10. AGE in Years Months Days14 | 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 Bernard Myers
17. BIRTHPLACE PEI
18. NAME of Mother Gloria Corrigan
19. BIRTHPLACE New Glasgow, NS
20. Signature of Informant Bernard Myers
address Cove Head, PEI
Relationship to deceased Father
21. Place of burial Cove Head, PEI
Date of burial Aug 6, 971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 4, 1971
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) Prematurity, Right Sided Tension Pneumothorax
(c)
other Pulmonary Hemorrhage
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