Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

St-Gelais death at Halifax, Halifax County on September 26, 1971

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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