Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Francis death at New Glasgow, Pictou County on October 15, 1971
Male Death Registration: Year: 1971 number: 6964
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006964
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Francis,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Mic Mac Indian
7. Single, Married
single
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 10 15, 1971
10. AGE in Years Months Days | hrs or 10 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 Anna Francis
19. BIRTHPLACE New Glasgow, NS
20. Signature of Informant Mrs. Albert Denny
address Pictou Landing, NS
Relationship to deceased Sister
21. Place of burial Pictou Landing, NS
Date of burial Oct 16, 1971
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 15, 1971
CAUSE OF DEATH
(a) Excessive Cranial Stress Foetal Asphyxia
(b) Breech Delivery
(c)
other Prematurity, 32 weeks
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