Male Death Registration: Year: 1971 number: 3256
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003256
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Mental Hospital
3. PRINT NAME OF DECEASED Beck, Donald Sherwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 8, 1930
10. AGE in Years40 Months6 Days29 | hrs or mins
11. Trade or profession Never worked
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ernest Beck
17. BIRTHPLACE Nfld
18. NAME of Mother Alice Brown
19. BIRTHPLACE Nfld
20. Signature of Informant Gerald Beck
address 24 A Churchill Drive, Dartmouth, NS
Relationship to deceased Brother
21. Place of burial Fairview Cemetery, Halifax, NS
Date of burial May 8, 1971
22. Undertaker Cruickshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 7, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Mongolism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495332
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