Male Death Registration: Year: 1971 number: 2843
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002843
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital for Children
3. PRINT NAME OF DECEASED Knox, Scott William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 11, 1969
10. AGE in Years2 Months3 Days3 | 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 Lawrence D Knox
17. BIRTHPLACE New Brunswick
18. NAME of Mother Winnifred Jones
19. BIRTHPLACE New Brunswick
20. Signature of Informant Lawrence D Knox
address 63 Mt Edward Rd, Dart.
Relationship to deceased father
21. Place of burial Dartmouth Memorial Gardens, NS
Date of burial April 16, 1971
22. Undertaker Mattatall Funeral Service, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 14, 1971
CAUSE OF DEATH
(a) Intradermical Sarcoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494920
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