Male Death Registration: Year: 1971 number: 7009
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007009
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Brimer, Charles Jack
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Ontario
9. DATE OF BIRTH 5 6, 1934
10. AGE in Years37 Months7 Days6 | hrs or mins
11. Trade or profession
12. Kind of industry professor
13. Date last worked December 3, 1971 14. Total years
15. If married name of spouse Anne
16. NAME of Father Jack Brimer
17. BIRTHPLACE Ontario
18. NAME of Mother Isabel White
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs. Anne Brimer
address 25 Dingle Rd. Halifax
Relationship to deceased Wife
21. Place of burial Fernhill Cemetery, St. John, New Brunswick
Date of burial December 14, 1971
22. Undertaker Snow and Co. Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 12, 1971
CAUSE OF DEATH
(a) Bullet wound through head
(b)
(c)
other Suicide - shot self with 30-30 rifle
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499081
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