Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Purkis death at Halifax, Halifax County on September 9, 1971
Female Death Registration: Year: 1971 number: 6421
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006421
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Purkis,
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 9, 1971
10. AGE in Years Months Days | 1 hrs or 18 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 Ian Purkis
17. BIRTHPLACE Essex, England
18. NAME of Mother Gail Archibald
19. BIRTHPLACE Wolfville
20. Signature of Informant Information from chart
address B. Clements, Grace Maternity Hospital
Relationship to deceased
21. Place of burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 9, 1971
CAUSE OF DEATH
(a) Asphyxia Neonatorum
(b) Prematurity
(c)
other
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