Male Death Registration: Year: 1971 number: 1126
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001126
1. PLACE OF DEATH County of Halifax If in City or Town Head of Jeddore
If death occured in a hospital or institution Head Jeddore
3. PRINT NAME OF DECEASED Myers, Kevin Boyd
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 17, 1955
10. AGE in Years15 Months3 Days19 | hrs or mins
11. Trade or profession Student
12. Kind of industry High School
13. Date last worked January 5, 1971 14. Total years 10
15. If married name of spouse
16. NAME of Father Redvers Myers
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Iris Baker
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Redvers Myers (Per R.F.S.)
address Head Jeddore
Relationship to deceased Father
21. Place of burial Head Jeddore
Date of burial January 7, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 5, 1971
CAUSE OF DEATH
(a) Multiple Neck Injuries
(b) Gun-shot wound to neck
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493204
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