Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Haycox death at Sydney Mines, Cape Breton County on December 26, 1971
Male Death Registration: Year: 1971 number: 7520
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007520
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Haycox,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Sydney Mines
9. DATE OF BIRTH 12 26, 1971
10. AGE in Years Months Days | 2 hrs or 30 mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Thomas Haycox
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Violet Parsons
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Thomas A. Haycox
address 176 Main St., Sydney Mines
Relationship to deceased Father
21. Place of burial Brookside Cemetery, Sydney Mines
Date of burial December 28, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 26, 1971
CAUSE OF DEATH
(a) Immaturity - Spontaneous Abortion
(b)
(c)
other
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