Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carrol Eugene Crouse death at North River, Lunenburg County on June 16, 1971
Male Death Registration: Year: 1971 number: 4060
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004060
1. PLACE OF DEATH County of Lunenburg If in City or Town North River
3. PRINT NAME OF DECEASED Crouse, Carrol Eugene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Anglo-Saxon
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 22, 1938
10. AGE in Years33 Months Days24 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Lumbering
13. Date last worked 1971 14. Total years 10
15. If married name of spouse
16. NAME of Father Eugene Crouse
17. BIRTHPLACE NS
18. NAME of Mother Margaret Oickle
19. BIRTHPLACE NS
20. Signature of Informant Eugene Crouse
address Branch Lahave, NS
Relationship to deceased Father
21. Place of burial Branch Lahave
Date of burial June 18 1971
22. Undertaker Langille's Funeral Home, Barss Corner, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1971
CAUSE OF DEATH
(a) suicide and self inflicted injury by firearm
(b)
(c)
other Suicide: Internal injury to heart & lung
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