Male Death Registration: Year: 1971 number: 4031
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004031
1. PLACE OF DEATH County of Pictou If in City or Town Salt Springs
If death occured in a hospital or institution Highway
3. PRINT NAME OF DECEASED Corney, Terrence William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 19, 1948
10. AGE in Years23 Months1 Days | hrs or mins
11. Trade or profession Driver
12. Kind of industry General Bakeries
13. Date last worked June 18/71 14. Total years 1 yr
15. If married name of spouse
16. NAME of Father Gordon Corney
17. BIRTHPLACE Glen Haven, Hfx Co.
18. NAME of Mother Elizabeth Phelan
19. BIRTHPLACE Guysboro, Nova Scotia
20. Signature of Informant Mr. Gordon Corney
address 6270 Chebucto Rd, Halifax, NS
Relationship to deceased (father)
21. Place of burial Gate of Heaven, Lower Sackville
Date of burial June 22, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) massive inhalation of blood
(b) lacerations mouth and nose
(c) automobile crash
other Accident: car driver left highway & struck abutment
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496106
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