Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Murray C Burgess death at Windsor, Hants County on October 24, 1971

Male Death Registration: Year: 1971 number: 6369

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006369

1. PLACE OF DEATH   County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital

3. PRINT NAME OF DECEASED Burgess, Murray C

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Cheverie, Hants County

9. DATE OF BIRTH 7  1, 1874

10. AGE in  Years97  Months3  Days23 | hrs or mins

11. Trade or profession Male nurse aide

12. Kind of industry

13. Date last worked 1950       14. Total years

15. If married name of spouse Single

16. NAME of Father Capt. Charles D. Burgess

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Jane Malcolm

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Donald Sanford

      address Windsor Forks, RR #2, Hants County, Nova Scotia

      Relationship to deceased Nephew

21. Place of burial Cheverie, Hants County

      Date of burial Oct 25, 1971

22. Undertaker Lohnes Funeral Service Ltd., Windsor, Nova Scotia

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 24, 1971

CAUSE OF DEATH

(a) Arteriosclerosis

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498442

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