Male Death Registration: Year: 1970 number: 6970
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006970
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution DOA Highland View Hospital
3. PRINT NAME OF DECEASED Ripley, Terry Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 4 18, 1954
10. AGE in Years16 Months6 Days23 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked to date 14. Total years life
15. If married name of spouse
16. NAME of Father Robert E Ripley
17. BIRTHPLACE Fenwick
18. NAME of Mother Joan Trueman
19. BIRTHPLACE London, Ont
20. Signature of Informant Robert E Ripley
address Fenwick (RR#2, Nappan)
Relationship to deceased Father
21. Place of burial Fenwick
Date of burial November 14 1970
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 10, 1970
CAUSE OF DEATH
(a) Massive internal injuries to chest
(b)
(c)
other Accident - passenger in car that left road on turn & rolled over
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492277
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