Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Brenton Roy Brimicombe death at Halifax, Halifax County on September 25, 1971
Male Death Registration: Year: 1971 number: 5699
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005699
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution on Highway
3. PRINT NAME OF DECEASED Brimicombe, Brenton Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
separated
8. BIRTHPLACE Wellington, Halifax County
9. DATE OF BIRTH 8 25, 1950
10. AGE in Years21 Months1 Days | hrs or mins
11. Trade or profession Spray Printer
12. Kind of industry Auto Body Work
13. Date last worked 24 September 1971 14. Total years life
15. If married name of spouse Mary
16. NAME of Father Daniel Brimicombe
17. BIRTHPLACE NS
18. NAME of Mother Pearl Olive
19. BIRTHPLACE NS
20. Signature of Informant Daniel Brimicombe
address Wellington, Halifax Co., NS
Relationship to deceased Father
21. Place of burial Stewiacke, Colchester Co., NS
Date of burial 27 September 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 25, 1971
CAUSE OF DEATH
(a) Fracture of Spine due to motor vehicle accident
(b)
(c)
other
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