Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Curtis Eugene Farmer death at Shelburne, Shelburne County on March 19, 1971

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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