Male Death Registration: Year: 1971 number: 2048
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002048
1. PLACE OF DEATH County of Kings If in City or Town Hants Border
If death occured in a hospital or institution Highway 101
3. PRINT NAME OF DECEASED Atwell, Sherman Randall
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Wolfville
9. DATE OF BIRTH 11 29, 1949
10. AGE in Years21 Months2 Days20 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Mr Victor Atwell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura A Breuster
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Victor Atwell
address Melanson Mountain, NS
Relationship to deceased Father
21. Place of burial Melanson Mountain Cemetery
Date of burial February 20, 1971
22. Undertaker H C Lindsay Funeral Home, Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 18, 1971
CAUSE OF DEATH
(a) cord compression
(b) Fractured neck
(c)
other Accident - car - pedestrian
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494125
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