Male Death Registration: Year: 1971 number: 3693
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003693
1. PLACE OF DEATH County of Hants If in City or Town Walton
3. PRINT NAME OF DECEASED Beck, Brian Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 6, 1954
10. AGE in Years16 Months8 Days22 | hrs or mins
11. Trade or profession Student
12. Kind of industry High School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Gerald Eugene Beck
17. BIRTHPLACE Worchester, Mass. USA
18. NAME of Mother Marlene Shirley Lake
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gerald Beck
address Walton, NS
Relationship to deceased Father
21. Place of burial Walton, NS
Date of burial May 31, 1971
22. Undertaker J. Wilson Allen, Summerville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 28, 1971
CAUSE OF DEATH
(a) Acute Asphyxia
(b) Fractured skill and multiple injuries
(c)
other Car-pedestrian accident
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495769
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