Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kevin Richard Burton death at North Sydney, Cape Breton County on July 31, 1971
Male Death Registration: Year: 1971 number: 5336
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005336
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hosp.
3. PRINT NAME OF DECEASED Burton, Kevin Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Oakville, Ontario
9. DATE OF BIRTH 4 22, 1968
10. AGE in Years3 Months3 Days9 | hrs or mins
11. Trade or profession Child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Alexander Burton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Clare Elizabeth Nicoll
19. BIRTHPLACE Quebec
20. Signature of Informant John Alexander Burton
address 2331 Lakeshore Rd., Oakville, Ont.
Relationship to deceased Father
21. Place of burial St. Dominique, Oakville, Ontario
Date of burial Aug. 4, 1971
22. Undertaker George R. Francis, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 31, 1971
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Mild trauma to chest wall
(c)
other Accident
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