Male Death Registration: Year: 1970 number: 2559
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002559
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital
3. PRINT NAME OF DECEASED Brewer, Brent Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE York County, New Brunswick
9. DATE OF BIRTH 7 10, 1967
10. AGE in Years2 Months8 Days18 | 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 Merlin Donald Brewer
17. BIRTHPLACE York County, New Brunswick
18. NAME of Mother Gail Sewill
19. BIRTHPLACE Woodstock, New Brunswick
20. Signature of Informant Merlin Brewer
address Zealand, York Co. New Brunswick
Relationship to deceased Father
21. Place of burial Zealand, York Co. New Brunswick
Date of burial March 20, 1970
22. Undertaker Cruikshank Funeral Home Ltd. and Flewelling Funeral Home, Lower Southampton, New Brunswick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 28, 1970
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Congestive Heart Failure
(c)
other Severe Malnutrition
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487871
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