Male Death Registration: Year: 1971 number: 3632
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003632
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Shannon Park, Dartmouth NS
3. PRINT NAME OF DECEASED Easton, Keith Cyril
4. Sex
Male
5. Citizenship
British
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Iron Acton, England
9. DATE OF BIRTH 10 10, 1942
10. AGE in Years28 Months7 Days20 | hrs or mins
11. Trade or profession Corporal
12. Kind of industry Canadian Armed Forces
13. Date last worked 1971 14. Total years
15. If married name of spouse Mrs. Marilyn Easton
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Marilyn Easton
address G.B Apt. 5, Shannon Park, NS
Relationship to deceased wife
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial June 1, 1971
22. Undertaker Mattatall Funeral Services Ltd, Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 30, 1971
CAUSE OF DEATH
(a) Bullet wound through head
(b)
(c)
other Suicide: shot self with rifle
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495708
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