Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Theodore Andrew Swimm death at Sandy Point, Shelburne County on June 20, 1970
Male Death Registration: Year: 1970 number: 4006
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004006
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution DOA Roseway Hospital
3. PRINT NAME OF DECEASED Swimm, Theodore Andrew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 11, 1955
10. AGE in Years15 Months4 Days9 | hrs or mins
11. Trade or profession Attending School
12. Kind of industry
13. Date last worked June 19 14. Total years 9
15. If married name of spouse
16. NAME of Father Clifford Swimm
17. BIRTHPLACE Clarks Harbour
18. NAME of Mother Orley Chetwynd
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clifford Swimm
address Clarks Harbour
Relationship to deceased Father
21. Place of burial Clarks Harbour
Date of burial June 23, 1970
22. Undertaker Kenney Funeral Service, Barrington, Shelb. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 20, 1970
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident - fell out of boat into water.
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