Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Scott Orville Symonds death at Barrington, Shelburne County on October 15, 1971
Male Death Registration: Year: 1971 number: 6144
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006144
1. PLACE OF DEATH County of Shelburne If in City or Town Barrington
3. PRINT NAME OF DECEASED Symonds, Scott Orville
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 11, 1971
10. AGE in Years Months2 Days4 | 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 Orville Symonds
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Sutherland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Orville Symonds
address 11 Inverary Drive, Dartmouth, NS
Relationship to deceased Father
21. Place of burial Gate of Heaven Cemetery, Sackville, NS
Date of burial 19 October 1971
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 15, 1971
CAUSE OF DEATH
(a) Viral Pneumonia
(b) sudden onset confirmed by autopsy
(c)
other
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