Male Death Registration: Year: 1971 number: 7150
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007150
1. PLACE OF DEATH County of Kings If in City or Town Bloomindon
3. PRINT NAME OF DECEASED Vidito, Justin Leroy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French Italian
7. Single, Married
single
8. BIRTHPLACE Bloomington
9. DATE OF BIRTH 10 22, 1936
10. AGE in Years35 Months1 Days11 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Wood Lot
13. Date last worked Dec. 2, 71 14. Total years Life
15. If married name of spouse
16. NAME of Father Sidney Vidito
17. BIRTHPLACE N. S.
18. NAME of Mother Annie Trask
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Sidney Vidito
address Bloomington, N. S.
Relationship to deceased Father
21. Place of burial Nictaux, N. S.
Date of burial December 6, 1971
22. Undertaker Warren T. Roop TLD. Middleton, N. S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 3, 1971
CAUSE OF DEATH
(a) Gross Cerebral Damage due to self inflicted gunshot wound
(b) Depressed State
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499222
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