Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence William Babineau death at Halifax, Halifax County on September 12, 1971
Male Death Registration: Year: 1971 number: 5446
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005446
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Babineau, Clarence William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia Canada.
9. DATE OF BIRTH 9 11, 1971
10. AGE in Years Months Days1 | 13 hrs or 45 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
17. BIRTHPLACE
18. NAME of Mother Gail Babineau
19. BIRTHPLACE Halifax N.S.
20. Signature of Informant Shirley Prosard
address Grace Maternity Hospital Halifax
Relationship to deceased None.
21. Place of burial Jeddore
Date of burial Sept. 14, 1971
22. Undertaker Father
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 12, 1971
CAUSE OF DEATH
(a) Unknown - No Autopsy
(b) Prematurity
(c)
other
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