Male Death Registration: Year: 1971 number: 3404
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003404
1. PLACE OF DEATH County of Colchester If in City or Town Onslow Mountain
If death occured in a hospital or institution on highway
3. PRINT NAME OF DECEASED Rushton, Frederick Dawson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 22, 1951
10. AGE in Years19 Months5 Days23 | hrs or mins
11. Trade or profession labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Dawson Rushton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maxine Roode
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Dawson Rushton
address Belmont
Relationship to deceased mother
21. Place of burial Belmont, Col. Co.
Date of burial May 19, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1971
CAUSE OF DEATH
(a) ruptured aorta
(b)
(c)
other Accident: car left highway struck culvert and rolled - multiple injuries
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495480
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