Male Death Registration: Year: 1971 number: 3937
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003937
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital
3. PRINT NAME OF DECEASED Campbell, Peter Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Inverness
9. DATE OF BIRTH 1 6, 1952
10. AGE in Years19 Months5 Days | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry Self
13. Date last worked June 4/71 14. Total years 1 yr
15. If married name of spouse
16. NAME of Father Colin Campbell
17. BIRTHPLACE Glencoe Mills
18. NAME of Mother Madeline MacDonald
19. BIRTHPLACE Timmins, Ontario
20. Signature of Informant Collena Campbell
address Mabou
Relationship to deceased Sister
21. Place of burial Mabou, NS
Date of burial June 6, 1971
22. Undertaker Rod MacDonald Funeral Home, Inverness
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 6, 1971
CAUSE OF DEATH
(a) Fractured dislocated neck
(b)
(c) Fractured skull
other Accident: Car left highway & hit culvert
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496013
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