Male Death Registration: Year: 1971 number: 5229
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005229
1. PLACE OF DEATH County of Annapolis If in City or Town Wilmot
If death occured in a hospital or institution Wilmot, NS at home.
3. PRINT NAME OF DECEASED Curry, Thomas William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Mt. Denson, Hants Co
9. DATE OF BIRTH 3 20, 1910
10. AGE in Years61 Months5 Days8 | hrs or mins
11. Trade or profession Sup't
12. Kind of industry Dept of Highways
13. Date last worked Aug. 27/71 14. Total years
15. If married name of spouse Doris Curry
16. NAME of Father William Curry
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bessie Maria Schurman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Doris Curry
address Wilmot, Anna Co, NS
Relationship to deceased Wife
21. Place of burial Wilmot, NS
Date of burial Aug 31, 1971
22. Undertaker Frederick G. Roop Funeral Service, 316 Main St, Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 28, 1971
CAUSE OF DEATH
(a) massive cranial damage
(b) Gun shot wound
(c)
other Suicide
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497303
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