Male Death Registration: Year: 1971 number: 6724
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006724
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney River
3. PRINT NAME OF DECEASED Burns, John George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Hants County
9. DATE OF BIRTH 6 18, 1950
10. AGE in Years21 Months3 Days29 | hrs or mins
11. Trade or profession Labour
12. Kind of industry Truck Transport
13. Date last worked October 15, 1971 14. Total years
15. If married name of spouse
16. NAME of Father John S. Burns
17. BIRTHPLACE Hants County
18. NAME of Mother Pearl Dorothy MacKenzie
19. BIRTHPLACE Hants County
20. Signature of Informant John Burns
address 87 MacRae Ave. Sydney River
Relationship to deceased father
21. Place of burial Forest Haven, Glace Bay
Date of burial October 20, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1971
CAUSE OF DEATH
(a) Epidural Hemorrhage
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498797
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