Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jerome Vair Curtis death at Bay St. Lawrence, Victoria County on October 14, 1970
Male Death Registration: Year: 1970 number: 6092
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006092
1. PLACE OF DEATH County of Victoria If in City or Town Bay St. Lawrence
If death occured in a hospital or institution Bay St. Lawrence
3. PRINT NAME OF DECEASED Curtis, Jerome Vair
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 19, 1951
10. AGE in Years18 Months11 Days25 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked July 1970 14. Total years 2
15. If married name of spouse
16. NAME of Father Joseph Curtis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Anne MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joseph Curtis
address Bay St. Lawrence
Relationship to deceased Father
21. Place of burial St. Margarets Village
Date of burial October 17, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd. Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 14, 1970
CAUSE OF DEATH
(a) Ventricular Fibrillation due to Electrical Injury
(b)
(c) Fracture of Right Femur
other Accident - in contact with high tension wire electrical injury
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