Male Death Registration: Year: 1971 number: 5931
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005931
1. PLACE OF DEATH County of Kings If in City or Town West Brooklyn
If death occured in a hospital or institution West Brooklyn
3. PRINT NAME OF DECEASED Starratt, Keith Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Avonport
9. DATE OF BIRTH 1 18, 1942
10. AGE in Years29 Months8 Days18 | hrs or mins
11. Trade or profession Paper Inspector
12. Kind of industry Pulp
13. Date last worked Oct 6 '71 14. Total years
15. If married name of spouse Katheryn Kinsman
16. NAME of Father Albert Starratt
17. BIRTHPLACE Avonport
18. NAME of Mother Eva Rogers
19. BIRTHPLACE East Village
20. Signature of Informant Mrs. Keith Starratt
address West Brooklyn
Relationship to deceased Wife
21. Place of burial Willow Bank Cemetery
Date of burial October 9, 1971
22. Undertaker H.C Lindsay Funeral Homes Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 6, 1971
CAUSE OF DEATH
(a) Crush injury of chest
(b)
(c)
other Accident - Tractor rolled over on deceased crush injury of chest
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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