Male Death Registration: Year: 1971 number: 4799
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004799
1. PLACE OF DEATH County of Halifax If in City or Town Hammonds Plains
3. PRINT NAME OF DECEASED Shunamon, Kelvin Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 22, 1956
10. AGE in Years14 Months9 Days7 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Edward Shunamon
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Edith Shunamon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Edith Shunamon.
address Hammonds Plains., NS
Relationship to deceased Mother
21. Place of burial Anglican Cemetery, Beaverbank
Date of burial July 31, 1971
22. Undertaker Lindsay's, Bedford. NS,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 29, 1971
CAUSE OF DEATH
(a) Accidental Drowning
(b)
(c)
other Accident: Smid's Lake
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496874
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