Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John William Burns death at Halifax, Halifax County on August 1, 1971
Male Death Registration: Year: 1971 number: 5967
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005967
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Burns, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
separated
8. BIRTHPLACE South Maitland, Hants County
9. DATE OF BIRTH 5 5, 1892
10. AGE in Years79 Months2 Days27 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1970 14. Total years life
15. If married name of spouse Julia
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Millie Burns
19. BIRTHPLACE
20. Signature of Informant Mrs. Lyman Higgins
address Elderbank, Halifax Co., NS
Relationship to deceased Daughter
21. Place of burial Elderbank, Halifax Co., NS
Date of burial 3 August 1971
22. Undertaker Ettinger Funeral Services Ltd., Shubenacadie, Hants Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 1, 1971
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Silicosis
(c)
other
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