Bill 22 (Legislature 3, Session 4)

L3 S4 9841

Alberta — Bills

BILL No. 22 of 1916.

An Act reRpecting Vital StatistiCf'l. (Assented to ,1916.) HIS MAJESTY, by and with the advice and consent of the Legislative Assembly of the Province of Alberta, enacts as follows:

SHORT TITLE. 1. This Act may be cited as "The Vital Statistics Act."

INTERPRETATION. 2. In this Act unlesl3 the context otherwise requires- 1. The expression "Minister" means the memb(~r of the Executive Council for the time being admini,stering the Department of Agriculture; 2. The expression "Department" means the Department of Agriculture presided over by the Minister administering this Act; 3.

The expression "occupier" where used in this Act shall be construed to include the governor, master, warden, keeper, superintendent or other officer in charge of a gaol, prison, penitentia.ry, lunatic asylum, hospital, reformatory, immigration building or other public or private charitable institution; and the tenant, proprietor or manager of a hotel; 4. The expression "camp or mine" means and includes any lumber, saw mill, railway or other construction p.amp, railway camps or any other maintenance work, quarries, mines, smelting or cement works situat~d outside of the limits of any city, town or village; 5.

The expression Ie undertaker" means, for the purpose of this Act, any person who takes charge of the burial or other disposition of a dead body; 6. The expression "Registrar-General" means the Registrar-General of Vital Statistics; 7. The expression "physician" means a duly qualified medical practitioner practising his profession within the Province of Alberta and .regii3tered as such practitioner in the College of Physicians and Surgeons of Alberta; 8.

The expression "house" m~ans and i;ncludes a part of a house and a tenement building, tent, room or dwelling place, and a suite or flat in an apartment building and a hotel; 9. The expression "registration" means the official recording of particulars of births, marriages and deaths; 10. The expression "prescribed forms" means the forms prepar~d by the Registrfl,r-Deneral; 11. The expression "forthwith" means that the action thus limited shall take place within twenty-four hours.

2 ADMINISTRATION. 3. The Minister shall be Registrar-General and ,shall be charged with the administration of this Act, and, ~ubject to the Minister, the direction, supervision and control of the work under this Act .sh/111 be under the jurisdiction of the Provinei,al Board of Health. DEPUTY REGISTRAR-GENERAL AND INSPECTOIt OF VITAL STATISTICS. 4. The Provincial Medical Officer of He2~lth sh~l1 be Deputy R,egistrar-General of Vital Statistics. .

(2) The Lieutenant Governor in Council ma.y appoint an inspector of vital statistics whose duties shall be prescribed by the Registrar-General. 5. For the purposes of this Act the Minister may appoint such persons as he may deem necessary and qualified to be registrars of vital statistics who shall perform the duties required of such registrars by this Act or by any rules, orders or regulations' made and in force hereunder.

(2) Such persons shall be known as district registrars and every notice, request, report, transmission or return req~ired by this Act to be mnde to a district registrar shall be made to the district registrar whose residence or place of business is nearest to the place where the birth, marriage or death took place. OFFICE AND DUTIES OF THE DISTItICT REGISTRARS. 6. The department shall supply the district registrars with the blank forms and registers necessary for the discharge of the duties herein imposed upon them, and it shall be the duty of such district registrars to apply to the department for the issue of such blank forms and registers whenever they may require tIl em.

(2) The cost and expenses of such forms and registers and the expenses' attendant upon the distribution thereof shall be paid out of the general revenue fund of the province. 7. In case of the termination of the appointment of any district registrar by death, resignation or otherwise, all such forms a;nd other matters pertaining to his duties under this Act or in his possession or that of his representative shall forthwith be delivered to his' successor in office. 8.

Every district registrar shall keep a register, the form of which shall be prescribed by the Registrar-General, of all births, Illarriag~s and deaths duly registered by him in the manner required by this Act. 9. Every district registrar shall, within the first week of each month in every year, transmit to the department the forms duly certified under his hand, containing the original entries of all births, marriages and deaths reported to him during the previous month, and if none have been reported he shall notify the department to that effect on forms provided for that purpose.

3 10. If the district registrar has reason to believe that a birth, marriage or death has taken place, which under this Act should have been registered with him but which has not been so registered, he shall inform the proper person of his duty to register same, and, on failure of such person to make the registration, he shall forthwith supply the depart ment with such informp,tion as he may pOI3S~ss in rcga:r:d to the matter. 11.

It shall be the duty of the district registra.r to keep the schedules, forms and documents received by him in a place of safety, and he shall use all available means to obtain the necessary information, for the purpose of compJet ing the records required by him. PO} ULATION STATISTICS. 12.

The secretary of every municipality and district as constituted under The Local Improvement Act shall make a return to the department on or before the third day of December in each year, giving the approximate number of people resident in his respective city, town, village, rural municipality or local improvement district and such returns shall be on the form prescribed by the Registrar-General. CHURCH NOTICES. 13.

Every clergyman, minister or other person authorized to baptize or perform the ceremony of marriage or conduct funeral services shall keep registers in such form as may from time to time be determined by the Registrar-General, showing the persons whom he baptizes or marries or who die within his cure or congregati.on, or over whose bodies he may have conducted funeral services.

(2) The registers mentioned in this

section shall be supplied by the department, and shaH be the property of the Government but they shall ly' nd-aiTIed by the church or congregatioll to which tLe millisLtr, clergyman or other person performing the ceremony belongs at the time of the first baptism or marriage entry or death which he records therein, and shall thereafter be kept as records in such church, or in the case of the abandonment of the church, they shall be filed in the department and such registers shall be open to inspection at any reasonable hour by registrars. 14.

The executive hodies of every religious denomination shall at least once every year, and oftener if required by the Registrar-General, send to the department a list of those persons in their denominations who to their knowledge are authorized or who do perform the marriage ceremony in their denomination. 15.

Every minister, clerg!man or other person duly qualified to solemnize marrIages, except a commissioner appointed by the Lieutenant Governor in Council, shall before solemnizing marriage forward to the department his certificate of ordination or appointment, which when duly examined and registered shall be returned to him personally or by registered mail.

4 REGI!:\TRATION OF BIRTHS. 16. The father of any child born in this province, or in the case of his death or absence, the mother, or in the case of the death or inability of both parents, any person standing in the place of the parents or present at the birth, or if there is no such person, then the occupier of the house or tenement in which to his knowledge the child was born, shall within one month from the date of birth give notice thereof to the district registrar, giving as far as possible the particulars required in form A in the

schedule to this Act, together with su'ch additional information as may from time to time be required by the Registrar-General.

(2) Every person whose duty it is to register It birth shall register such birth under a Christian name as well as a surname. 17. In registering the birth of an illegitima,te child, it shall not be lawful for the name of any person to be entered as the father unless at the joint. request of the mother and the person acknowledging himself to be the father; and in all cases of registration of the birth of illegitimate children the registrar shall write the word "illegitimate" in the column set apart for that purpose. 18.

Upon any person who claims to be one of the parents of an illegitimate child producing to the Registrnr-General a statutory declaration made by both parents of such child setting forth- (

a) The names, occupations and addresses of both parents, the acknowledgment of parentage, the name, sex and date of birth of such child; (

b) The date of their marriage; (

c) A certified [tbstract of their marriage registration; (

d) That it is their desire to have the child registered as their !::twfnl issue; (

e) That no legal impediment to their marriage existed at the time of the birth of the said child; the Registrar-Geneml shall register (whether dead or alive) such child as the lawful issue of such parents and shall make a note in the remarks column of the prescribed form to the effect that the registration has been made under this section. If the same child has been previously registered, the Registrar-General shall make a note in the remarks column of the previous registration and on any transcript thereof which may be on record in the archives of the department. 19.

Should the parents or guardians of a child, whose name has been registered, desire to have the Christian name or names of such child changed or corrected, such parents or guardians may make application to the Registrar General by letter or in person, and the Regis·~rar-General shall, if the age of the child does not exceed ten years, make the required change or correction in the records of the department. There shall be charged on such a,pplication a search fee of twenty-five cents and a further fee of fifty cents for a certified abstract of the registration as changed.

5 20. At the time of registration of a hirth, the distric t registrar shall issue, free of charge, to the person registering such birth, a certificate of registration of birth according to form F in the

schedule to this Act. 21. Every legally qualified medical practitioner who attends at the birth of a child Rhall forthwith give notice thereof on the prescribed form to the district registrar.

(2) Any person who, in the absence of a legally qualified medical practitioner, assumes the responsibilities and duties in connection with the birth of a chi.ld, shall forthwith on the birth of said child give notice thereof to the district registrar. REGISTRATION OF MARRIAGES. 22. Every clergyman, minister Ot· other person authorized by law to celebrate marriages shall report every marriage he celebrates to the district registrar within fiftE~en days from the date of the marriage with the particulars required by form B in the

schedule to this Act, together with such additional information as may from time to time be required by the Registrar-General, and in order to better enable the said clergyman, minister or other person to make the report as aforesaid he shall be furnished on demand by any registrar with blank forms containing the particulars required by the said form B. REGISTRATION OF DEATHS. 23.

The undertaker or any person acting as undertaker or the occupier of a house or tenement in which a death takes place or, if the occupier is the person who has died, then one of the persons residing in the house in which the death took place, or if the death has not taken place: within a house, then any person present at the death or having any knowledge of the circumstances attending the same or the coroner i,vho has been notified of a death or has attended any inquest held on the body of surh person shall, before the interment of the body, supply to the district registrar according to his or her knowledge or belief all the pa,rticulars required to be registered toucbing such death, according to form C in the

schedule to this Act, together with such additional information as may from time to time be required by the Registrar-General. 24. Every registrar shall, immediately on registering any death or as soon thereafter as he is required to do so, without fee or reward, deliver to any person requiring the same for the purpose of burial a certificate (to be known a13 a burial permit) according to form D in the

schedule to this Act stating that the particulars of such death have been duly registered. 25. Every duly qualified medical practitioner who was last in attendance during the last illness of any person shall forthwith on notice or having knowledge of the death of such person transmit to the district registrar a certificate under his signature of the cause of death according to form E in the

schedule to this Act, together with such additional information as may from time to time be requir,ed by the Registrar-General; and it shall be the duty of every such medical practitioner to apply to the said registrar for blank

6 forms for that purpose. Upon receipt of the eertificate from the medical practitioner by the registrar he shall attach the same in a temporary manner to the rel9stration of death provided for in form C in the

schedule hereto, provided that where a eoroner's inquiry or inqueBt is held in connection with any death, it shall ·be the duty of such coroner to trans,mit to the said registrar all the particulars necessN"Y aecording to form C in the

schedule to this Act, together with a certificate of cause of death signed QY him according to form E in the

schedule hereto, befoJre if!~uing his warrant for burial under The Coroner's Act.

(2) Indefinite or unsatisfactory expressions, indicating only symptoms of disease, or conditions resulting from disease, as defined by the Registrar-Geneml, will not be held sufficient for issuing a burial permit; and any certificate containing only such terms shall be returned to the physician for correction and definition. Causes of death which may result from either disease or violence shall be carefully defined. If from violence, the nature of the violenc:e shall be stated and whether (probably) accidental, suicidal or homi cidal. 26.

In caae of any de~th occurring withou1~ medical attendance it' shall be the duty of the district registrar to notify the local medical officer of health and refer the case to him for immediate investigation and certification, prior to issuing the burial permit, provided that when the local medical officer of health is not a qualified physician or where there is no such official and in such cases only the district registrar is authorized to prepare and sign a certi ficate to take the place of the medical certificate hereinafter provided for from the statements of relatives or other persons having adequate knowledge of the facts; provided further, that where it is impossible to arrive at the cause of death, or if the circumstances of the case render it probably that the death was caused by unlawful or suspicious means, the district registrar shall then refer the case tolthe coroner for his investigation and certification; and any coroner who holds an inquest on the body of any deceased person and makes the certifica,te of death required for a burial permit, shall state on this certificate, if possible, the name of the disease causing death, or if caused by violence, the probable means of death, whether accidental, suicidal or homicidal as determined by the jnquest, and shall in either case furnish such information as may be required by the Registrar General properly to classify the death. 27.

No removal for burial of the body of any person shall take place and no undertaker, clergyman, sexton, householder or other person shall engage in the burial of the body of any person unless a burial permit as provided for in form D in the

schedule hereto has been previously obtained from the district registrar to the knowledge of the person so removing or engaging in the burial of the body: Provided that the body of any person may be interred without a burial permit if the death of such person occurred outside the Province of Alberta: And provided further that a clergyman, minister or other person who is called upon to perform any funeral or religious service for the burial of any dead hody under circumstances rendering it impracticable (by reason of the distance from the post office address of the district registrar to the place

where the burial service takes place or otherwise) to obtain the said certificate in form D prior to the burial of tihe body, may perform such ceremony without obtaining SUlch certi ficate, but in .this event such clergyman, minister or other person so performing such burial service shall forthwith make a return in form C in the

schedule to this Act to the district r~gi,strar. 28. Before the disinterment of a body shall take place, a. certified extract of the death shall be obtained from the department, for which a fee of fifty cents, togethE~r with a search fee of twenty-five cents shall be payable, and said extract shall be presented to the Provincial Medical Officer of Health before a permit for disinterment is issued. 29. Stillborn children or those dead at birth shall be registered only as deaths, and notice of the death shall be filed with the district registrar in the usual manner.

A medical certificate relating to the stillbirth shall be signed by the attending physician, and a burial permit according to form D in the

schedule to this Act must be procured from the district registrar before the body may be inteITed.

(2) Stillbirths shall not be included in the departmental annual returns of deaths; they shall be recorded separately. 30. The Registrar-General may register a death which has not been registered by a district registrar provided the information is furnished in accordance with the provisions· of this Act. DUTIES OF CEMETERY CARETAKERS. 31. Except in case~ provided in the provisoes to

section 27, no caretaker, superintendent or owner of any cemetery whether public or private, nor any clergyman, minister or other person having charge of a church to which a burial ground is attached shaH Pf fHiit the interment of the body of any person in the bUl ial grounds over which he has charge unless he has received a certificate of regis tration (burial pennit) as provided for in form D in the

schedule hereto. 32. Every such caretaker, superintendent, owner, clergy man, minister or other person in charge of any eemetery shall on or before the last day of March, June, September and Deeember in each year tran,smit to the department a return showing the number of burials therein during the preceding three months, giving the names of the persons whose bodies are therein buried and the date on which each interment took place. CORRECTION 01<' ERRORS-SUBSEQUENT REGISTRA'rIONS. 33.

If it is discovered that any error has been made in the entry of any birth, marriage or death, then, upon the same being reported to the proper district registrar, it shall be his duty to inquire into the same and if satisfied that an error has been committed it shall be lawful for him to correct the erroneous entry by making .the necessary alterations in the margin of the form containing the origin?!l entry; and if the original entry of such birth, marriage or death

8 has been transmitted to the department, he shall report to the departxnent according to the facts of the case, so as to secure the correc~ion of such erroneous entry in the margin of the form 'containing the original entry. 34. Every registration of a birth, marriage or death shall be made within the time specified; but nothing herein contained shall prevent the subsequent registration of such birth, marriage or death within the period of one year. 3li.

After the expiration of one year after the date of any birth, marriage or death, the particulars of such birth, marriage or death shall ;not be registered except with the written authority of the Registrar-General. 36. Every birth, marriage or death regi~tered by the authority of the Registrar-General as herein provided after the expiration of one year shall be accompanied by ~ search fee of twenty-five cents and a registration fee of fifty cents. 37.

The Registrar-General may, if he considers it necessary, require that proofs by affidavit or otherwise be furni,shed before the authority to register any birth, marriage or death be granted. 38.

The original entries of all births, marriages and deaths shall be arranged, indexed and kept in the archives of the department; and any person furnishing satisfactory evidence that it is not for any unlawful or improper purpose shall be entitled to have them searched during' the regular business hours of the department on payment of twenty-five cents for each search, and to require extracts duly certified by the Registrar-General on payment of fifty cents for each certificate.

(2) Such certified extracts shall be evidence of the entry and prima facie evidence of the facts therein stated in any court.

(3) In the event that a search is required before the returns have been transmitted to the department as required by this Act, any registrar shall, as to the returns in his possession, allow such search to be made on payment to him of the fee of twenty-five cents, but any regi.strar who may not have transmitted his returns as required by this Act shall not allow such searches to be made after the date when' such returns should have been transmitted to the department; provided that any coroner or police officer shall be entitled to have the returns of births, marriages or deaths searched free of charge by the registrar o:r other officer hav~ng charge of such retul'llfl in respect of any investigation being made by or inquiry pending before him and to receive extractl'3 duly certified therefrom free of charge.

"

(4) The district registrar shall be entitled to the fees for such searches for his own use: ' 39. Each district regit;trar shall receive :a. fee to be paid out of the general revenue fund of the province of twenty-five cents for each registration of birth, ma,rriage or death returned by him complete, to the department as herein required.

9 40.

The Registrar-General shall make provision that the original registrations received monthly from the: district registrars shall be carefully examined and if any such are incomplete or unsatisfactory he shall require such further information to be furnished as may be necessary to make the records complete and satisfactory; and all clergymen, physicians, midwives, informants, undertakers and police officers connected with any case and all person:s having knowledge of the facts, are hereby required to furnish such information as they may possess regarding any birth, marriage or death upon the demand of the Registrar General, inspector or any district registrar, in p(~rson, by mail or through any other person. 41.

All registrations and certificates either for birth, marriage or death shall be written legibly in unfading black ink and no r~gistration or cert,ip.cate shall be held to be com plete that does not supply all the items of information called for by this Act, or satisfactorily account for their omission. REGULATIONS. 42. The Lieutenant Governor in Council may from time to time m,ake such further rules, orders and regullations as may be required for the purpose of effectually obtaining information required by this Act, and may from time to time aLter or repeal any such rules, orde~'s or regulations. 43.

The Registrar-General may from time to time, as circumstances require, prescribe additional forms, alter or vary any of the forms in the

schedule hereto or substitute new ones thelefor. PENALTIES AND PROSECUTIONS. 44~ If any person required by this Act to report births, marriages, deatf,s or burials, rf'fu"('!'1 or wilfully neglects to do so within the time named, such person shall be liable on summar.y conviction thereof to a penalty of not less than one dollar OI more than fifty dollars; and it shnll be the duty of the district registrars to prosecute nU such persons so neglecting or refusing to make the required reports within the time named; but nothing contained in this

section shall prevent persons other than registrars from prosecuting defaulters. 45. If a district registrar neglects or refuses to make any complete return as required by this Act, he shall be notified of such neglect or refusal by the Registrar-General and if after notification he fails to ma,ke such comple1ie returns within seven days, the Registrar-General may refuse to issue the certificate for the payments of the fees to the district registrar and such di,strict registrar shall be liable on

summary conviction to a penalty not exceeding twenty five dollars. 46. If any undertaker, sexton or other ~e~son acting .as undertaker shall inter, remove for shipment outside of the province or otherwise dispose of the body of any deceased person without having registered the death and obtained a burial permit as hereinbefore provided, except in the cases

10 mentioned in the provisoes to

section 27 hereof, he shall be liable upon

summary conviction to a penalty of not less than twenty dollars nor more than one hundred dollars. 47. Any person who knowingly or wilfully makes or causes to be mnde a false statement touehing any of the particulal's required to be reported and entered under this Act shall be liable upon

summary .~onviction thereof to a penalty of not more than twenty-five dollars. 48. No district registrar either personally or through an employee or representative shall accept any fee or fees in connection with the registration of births, marria,ges and deaths except as hereinbefore provided; and any district registrar accepting any fee or fees other than those provided by this Act .shall be liable on

summary conviction thereof to a penalty not exceeding twenty-five dollars. 49. Any person wilfully removing, defacing or destroying public notices relating to the registration of births, marriages and deaths shall be liable on

summary conviction thereof to a penalty of not more than five dollars. 50. Any person guilty of any act or omission in violation of any of the provisions of this Act for which no other penalty is provided shall be liable on

summary conviction thereof to a penalty of not more than twenty dollars. 51. The Vital Statistics Act, being

chapter 13 of the Statutes of 19071 and amendments thereof, are hereby repealed.

CANADA PROVINCE OF ALBERTA 11 SCHEDULE. FORM A. { For the use of the Department only} Record No .............. 191 .. .. REGISTRATION OF BIRTH. Registered at ........•...........................................•.•.• Date of Birth ............... . day of ................•. 191 ... Place of BiIth (Street and No., if any) Christian Name and Surname Sex lIs this a single, double (Male or Female) or other plural birth?

Name and Surname of Father Native Country of Father Profession or Occupation of Father Full Name of Mother Before Marriage Native Country of Mother Name of Doctor in Attendance at Birth (if any) Is this Child Legitimate or Illegitimate? REMARKS I certify the foregoing to be true and correct to the best of my knowledge and belief. Given under my hand at .................... this ................... . day of .................... 191 .... . . .......................... ··j;J~~~t·.·· ............... P~8~~ 'oide ·Add~~~; .. .

I hereby certify that the above return was made to me !~t ............. . on the .................... day of .................... 1'~1 .... . Registrar's Record No ......... of 191. .. . Registrar.

CANADA PROVINCE OF ALBERTA 12 FORM B. {For tho use of tho Department only} Record No ........... of 191 ... . REGISTRATION OF MARRIAGE. Registered at ....................................................... . BRIDEGROOM. Name in Full Age Place of Reeidence (Full Postal Address) Place oC Birth Bachelor, Widower or Divorced Profession or Occupation Names of Parents {K1~~h~; '(N~~~'b~i~r~'M~~i~g~)::::::::::::: BRIDE.

Name in Full (If a Widow give both Married and Maiden Names) Age Place of liesidence before Marriage (Nearest Post Office) PlalJe of Birth Rpinster, Widow or Divorced Names of Parents {r;~~h~; (N ~~~. b~i~r~' M~~~~) .' : : : : : : : : : : : : Name of Church or Occupier of House in which Marriage took Place and Address (Street and No., if any) Names and Addresses of \ Two Witnesses Name .................. Address ............. Other than Officiating Clergyman Name .................. Address ............. Religious Denomination I Of Bridegroom ........ of Officiating Clergyman Of Bride .............

Date of Marriage ................. . day of .............. 191. .. By License or Banns (If by License, State by Whom issued and No. of License) REMARKS I certify the foregoing to be true and correct to the best of my knowledge and belief. Given under my hand at .................... this ................... . day of .................. 191. .. .. . . . . . . . . . . . . . . . . . . . ojid;ui~g ·Ckrg~'n· .. .

I hereby certify that the above return was made to me at ............. . on the .................... day of. .................. 191. .. .. •••••••• •• 0 ••••••••••••••••••••••••••••• Registrar's Record No ........... of 191. .. . Registrar.

CANADA PROVINCE OF ALBERTA 13 FORM C. { For the use of the DepB.rtment Only} Record No ........... of 191 •... REGISTRATlON OF DEATH. Registered at ........................................................ . Name of Deceased in Full Date of Death .................... day of ........... 191 .... Place of Death ~ I 0 (Street and No., if any) '" Sex ~ I (Male or Female) e: ~ Age ~~ 0 Married or Single ~ Profession or Occupation ~~ :~ Place of Birth ~< ~~ Cause of Death o!j P=ll"l ~~ Name of Physician 'g (if any) ~ -a ; I~ Attending Fatal Illness i Religious Denomination ::! ~ ~ ~ Po. .?l] 0 ~ ~..d Q Col -Place of InteIment ~ !g~ oS~ ~ f! ...... tlJ bilA ~d (Name of Cemetery) ~ @ ~ Q) 0 o "0 o ~

Q) C) ~ I~ ~ iii ~MARKS '" 00 :I certify the foregoing to be true and correct to the best of my knowledge and belief. Given under my hand at .................... this ................... . day of. ................. 191. .. . ....... ........ .... ... ..... ... ......... . Informant . ....... .......... ........... ....... . Post Office Address. I hereby certify that the above return was made to me at ............. . on the .................. day of .................... 191 ... . Registrar's Record No ........... of 191. .. . Registrar.

CANADA PROVINCE OF ALBERTA 14 FORM D. CERTIFICATE OF REGISTRATION OF DEATH. (BURIAJ, FERMI,!'.) do\~r~bj,: ~~~ify 'th~t' th~ 'p~tii~~i~rS' Of t};::!\i; or:::::.':.':::::: ::.':~ have been duly registered. Given under my hand at .................... this ................... . day of .................. 191 ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;~~{,i8t;d;: . This certificate must be obtaiIied before the interment of any body may take place, and must be delivered at the time of burial to the superintendent or caretaker of the cemetery in· which such body is interred, except as wherein otherwise provided acco~ding to

section 28, Vital Statu!tics Act. CANADA PROVINCE OF ALBERTA. FORM E. CERTIFICATE OF CAUSE OF DEATH. Registration District of. .............................................. . Christian Name and Surname of DeceAsed Date of Death Place of Death (Nearest Post Office, ........ , ............. day of .............. , . , Street and No., if,~a;;;..n...:y'-')_I' _____________________ _ N arne of Occupier of Rp,sidence Wherein Death Occurred Sex Age Duration of Illness Cause of Death { Primary ................................ " .. Immediate ................................ .

I hereby certify that to the best of my knowledge and belief the cause of death above stated is the true cause of death of the person herein named. Place ................................... . Date ................................... . ••••••••••••••••• 0 •••••••••••••••••••••• Attending Physician. N.B.-Physicians furnishing certificates of cause of death will adhere as closely fS possible to the

schedule of causes of deaths furnished them by the Department of Agriculture and are requested to ayoid giving as causes of deaths conditions which are purely symptomatic. CANADA PROVINCE OF ALBERTA. FORM F. Registration District of ............. . CERTIFICATE OF REGISTRATION OF BIRTH. This is to certify that the birth of ................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. is registered as having taken place at .................................. on the ......................... day of .................... 191. .. . There is no fee for this certificate.

No. 22. FOURTH SESSION THIRD LEGISLATURE 6 HEOR(H: V 1916 BILL

An Act respecting Vital Statistics. Received and read the First time ...... . Second time ............... . Third time ................ . HON. MR. MARSHALL. EDMONTON: J. w. JEW-PERT, GOVERNMENT PRINTER, A.D. 1916 Title: 1916 (3rd, 4th) Bill 22,

An Act respecting Vital Statistics

Document details

Collection	Alberta — Bills
Citation	L3 S4 9841
Type	bill
Volume / chapter	L3 S4 9841
Language	en
Format	json
Source	PROVINCIAL
Identifier	377452742d5dca9e0826d9716c7bc6e38dd7ba1f

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