Male Death Registration: Year: 1971 number: 2639
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002639
1. PLACE OF DEATH County of Halifax If in City or Town West Chezzetcook
If death occured in a hospital or institution CFB Rifle Range, West Chezzetcook, NS
3. PRINT NAME OF DECEASED Deptuck, Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
single
8. BIRTHPLACE Saskatoon, Sask.
9. DATE OF BIRTH 3 7, 1947
10. AGE in Years24 Months Days27 | hrs or mins
11. Trade or profession Weapons technician
12. Kind of industry Canadian Armed Forces
13. Date last worked April 2/71 14. Total years 6
15. If married name of spouse
16. NAME of Father not available not available
17. BIRTHPLACE not available
18. NAME of Mother not available not available
19. BIRTHPLACE not available
20. Signature of Informant Records Department, CFB Shearwater
address Halifax County, NS
Relationship to deceased
21. Place of burial Calgary, Alberta
Date of burial April 7, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 3, 1971
CAUSE OF DEATH
(a) Carbon Monoxide Poisoning
(b)
(c)
other Suicide
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494716
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