Male Death Registration: Year: 1970 number: 1217
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001217
1. PLACE OF DEATH County of Annapolis If in City or Town Wilmot
If death occured in a hospital or institution Accident on Main Highway
3. PRINT NAME OF DECEASED Fader, Bruce Charles Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 31, 1970
10. AGE in Years6 Months7 Days7 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Arch Fader
17. BIRTHPLACE Lower Sackville
18. NAME of Mother June C. Mitchell
19. BIRTHPLACE Halifax
20. Signature of Informant A. Fader
address Lower Sackville
Relationship to deceased Father
21. Place of burial Holy Trinity, Middleton
Date of burial Jan. 10, 1970
22. Undertaker Frederick Roop
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1970
CAUSE OF DEATH
(a) Struck by car, fractured scull, fractured, internal injuries
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486531
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