Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Baker Swimm death at Yarmouth, Yarmouth County on October 10, 1971
Male Death Registration: Year: 1971 number: 6063
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006063
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
3. PRINT NAME OF DECEASED Swimm, Douglas Baker
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Clarks Harbour
9. DATE OF BIRTH 3 4, 1890
10. AGE in Years81 Months7 Days6 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Jethro Swim
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lillian Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Hattie Newell
address
Relationship to deceased Daughter
21. Place of burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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