Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Shawn Michael Mitchell death at Halifax, Halifax County on September 1, 1971
Male Death Registration: Year: 1971 number: 5313
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005313
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K Hopsital for Children
3. PRINT NAME OF DECEASED Mitchell, Shawn Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Canadian
7. Single, Married
single
8. BIRTHPLACE Halifax Infirmary
9. DATE OF BIRTH 7 8, 1971
10. AGE in Years Months1 Days24 | hrs or mins
11. Trade or profession infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Wayne Mitchell
17. BIRTHPLACE Halifax, NS
18. NAME of Mother Sharon Beck
19. BIRTHPLACE Halifax, NS
20. Signature of Informant Wayne Mitchell
address 3604 St. Paul St, Halifax, NS
Relationship to deceased father
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial Sept 2 1971
22. Undertaker R.D. Lindsay, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 1, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Crib death
(c)
other
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