Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Michael Wayne Harvie death at Halifax, Halifax County on November 19, 1971
Male Death Registration: Year: 1971 number: 6838
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006838
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital for Children
3. PRINT NAME OF DECEASED Harvie, Michael Wayne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 5, 1970
10. AGE in Years1 Months Days14 | 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 Rayburn Harvie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laverne White
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Rayburn Harvie Per JAE
address Noel Rd., Hants Co., Nova Scotia
Relationship to deceased Father
21. Place of burial North Noel Rd., Nova Scotia
Date of burial 2 November 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1971
CAUSE OF DEATH
(a) ? Storage Disease
(b)
(c)
other
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