Male Death Registration: Year: 1971 number: 5829
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005829
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED St-Gelais,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 23, 1971
10. AGE in Years Months Days3 | 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 Marc St. Gelais
17. BIRTHPLACE St. Felicien, Quebec
18. NAME of Mother Cecilia Crotty
19. BIRTHPLACE Halifax, NS
20. Signature of Informant Mrs. J. Logan, R.N.
address
Relationship to deceased obtained from chart
21. Place of burial Halifax Infirmary
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1971
CAUSE OF DEATH
(a) Prematurity
(b) Prematurity
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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