Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

William Burt death at Glace Bay, Cape Breton County on July 6, 1971

Male Death Registration: Year: 1971 number: 5104

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005104

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

3. PRINT NAME OF DECEASED Burt, William

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Newfoundland

9. DATE OF BIRTH 8  9, 1896

10. AGE in  Years74  Months10  Days27 | hrs or mins

11. Trade or profession Retired Fisherman

12. Kind of industry Self Employed

13. Date last worked 1967       14. Total years 50 yrs

15. If married name of spouse Keziar Burt

16. NAME of Father Andrew Burt

17. BIRTHPLACE Newfoundland

18. NAME of Mother  

19. BIRTHPLACE Newfoundland

20. Signature of Informant Keziar Burt

      address 16 Wadman St, Glace Bay

      Relationship to deceased Wife

21. Place of burial Forest Haven, Cape Breton Co., NS

      Date of burial July 8, 1971

22. Undertaker Patten's Funeral Home Ltd., Glace Bay, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH July 6, 1971

CAUSE OF DEATH

(a) Coronary Thrombosis

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497178

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