Male Death Registration: Year: 1971 number: 2458
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002458
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
If death occured in a hospital or institution Prince St
3. PRINT NAME OF DECEASED Farmer, Curtis Eugene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 18, 1968
10. AGE in Years2 Months7 Days1 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Mr. Robert Farmer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Janet Cordeau
19. BIRTHPLACE Nova Scotia.
20. Signature of Informant Mrs Jean Farmer
address Shelburne N.S
Relationship to deceased Grandmother
21. Place of burial Pine Grove Cemetery Shelb. NS
Date of burial March 22, 1971
22. Undertaker Huskelson's Funeral Home, Shelburne, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 19, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident: fell in swollen stream
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494535
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