Male Death Registration: Year: 1971 number: 6072
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006072
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 Morash, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 11, 1971
10. AGE in Years Months Days | 1 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
17. BIRTHPLACE
18. NAME of Mother Lena Morash
19. BIRTHPLACE Halifax
20. Signature of Informant Lena Morash
address West Dover
Relationship to deceased Mother
21. Place of burial Hospital Burial
Date of burial October 11, 1971
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 11, 1971
CAUSE OF DEATH
(a) Premature Birth
(b)
(c)
other
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Note: See 1971-006071 twin
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498145
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