Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Earl Gene Skinner death at Sydney, Cape Breton County on June 21, 1971
Male Death Registration: Year: 1971 number: 4238
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004238
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Skinner, Earl Gene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 2 4, 1949
10. AGE in Years22 Months4 Days17 | hrs or mins
11. Trade or profession Unemployed
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Harry Skinner
17. BIRTHPLACE Guysborough, NS
18. NAME of Mother Jean Skinner
19. BIRTHPLACE Guysborough, NS
20. Signature of Informant Harry Skinner
address 92 Tupper St., Sydney, NS
Relationship to deceased Father
21. Place of burial Guysborough Co., NS
Date of burial June 23, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd. Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1971
CAUSE OF DEATH
(a) Shock due to multiple fractures of legs & pelvis, hemorrhage
(b)
(c)
other Accident: Car left highway and struck tree
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Note: African Nova Scotian