Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Berwyn Douglas Campbell death at Garden of Eden, Pictou County on September 7, 1970
Male Death Registration: Year: 1970 number: 5552
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005552
1. PLACE OF DEATH County of Pictou If in City or Town Garden of Eden
If death occured in a hospital or institution Garden of Eden, Pictou County
3. PRINT NAME OF DECEASED Campbell, Berwyn Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 17, 1950
10. AGE in Years20 Months4 Days21 | hrs or mins
11. Trade or profession carpenter
12. Kind of industry
13. Date last worked 1970 14. Total years 3
15. If married name of spouse Martha Bowser
16. NAME of Father Edison Campbell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Kerr
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Berwyn (Martha) Campbell
address Blue Mountain, Pictou County
Relationship to deceased wife
21. Place of burial Heatherdale Memorial Gardens, Alma, Pictou County
Date of burial Sep 10 1970
22. Undertaker Angus Funeral Home, New Glasgow, Pictou County
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 7, 1970
CAUSE OF DEATH
(a) crush injury to chest, causing asphyxia in an automobile accident
(b)
(c)
other
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