Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stephen Judson Shaw death at Windsor Forks, Hants County on November 11, 1970
Male Death Registration: Year: 1970 number: 6605
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006605
1. PLACE OF DEATH County of Hants If in City or Town Windsor Forks
3. PRINT NAME OF DECEASED Shaw, Stephen Judson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 10 16, 1958
10. AGE in Years12 Months Days26 | hrs or mins
11. Trade or profession
12. Kind of industry School Boy
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Vernon Shaw
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Thelma Phinney
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Vernon Shaw
address Windsor Forks, Hant Co.
Relationship to deceased father
21. Place of burial Falmouth
Date of burial November 14 1970
22. Undertaker Lohnes Funeral Service Ltd., Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 11, 1970
CAUSE OF DEATH
(a) Laceration of brain
(b) Fracture of Skull
(c) multiple body fractures
other Accident - Truck/Bicycle on Highway
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