Male Death Registration: Year: 1970 number: 7241
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007241
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Shortliffe, Walter Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 22, 1945
10. AGE in Years25 Months2 Days15 | hrs or mins
11. Trade or profession Presser in Dry Cleaners
12. Kind of industry
13. Date last worked 1970 14. Total years 4 years
15. If married name of spouse Ruth Shortliffe
16. NAME of Father John Shortliffe
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Olive David
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald B. Shortliffe
address Shelburne, NS
Relationship to deceased Brother
21. Place of burial Pine Grove Cemetery, Shelburne, NS
Date of burial Dec. 10, 1970
22. Undertaker Huskilson's Funeral, Shelb. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 5, 1970
CAUSE OF DEATH
(a) Heavy rifle shot destroying face and cerebral hemisphere
(b)
(c)
other Suicide - severe brain damage
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492547
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