Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Casey Corbett death at Lower Ohio, Shelburne County on March 30, 1971
Male Death Registration: Year: 1971 number: 2668
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002668
1. PLACE OF DEATH County of Shelburne If in City or Town Lower Ohio
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Corbett, Casey
4. Sex
Male
5. Citizenship
American
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Boston, Massachusetts, USA
9. DATE OF BIRTH 12 31, 1958
10. AGE in Years12 Months2 Days30 | 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 John P. Corbett
17. BIRTHPLACE Boston, USA
18. NAME of Mother Gloria E. Smith
19. BIRTHPLACE Summerville, USA
20. Signature of Informant John Corbett
address Lower Ohio, Shelb.Co., NS
Relationship to deceased Father
21. Place of burial Lower Ohio, Shelb. Co, NS
Date of burial April 2, 1971
22. Undertaker Huskilson's Funeral Home, Shelb. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1971
CAUSE OF DEATH
(a) Lymphatic Leukemia
(b)
(c)
other
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