Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Keith Burton Grant death at Gore, Hants County on December 23, 1971
Male Death Registration: Year: 1971 number: 7648
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007648
1. PLACE OF DEATH County of Hants If in City or Town Gore
3. PRINT NAME OF DECEASED Grant, Keith Burton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 31, 1949
10. AGE in Years22 Months10 Days24 | hrs or mins
11. Trade or profession farming
12. Kind of industry
13. Date last worked 14. Total years life
15. If married name of spouse
16. NAME of Father William Grant
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Myrna Wile
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William Grant
address East Gore
Relationship to deceased father
21. Place of burial East Gore
Date of burial December 26, 1971
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) fracture of cerved spine and severe fend
(b) whiplash injury
(c)
other Accident - operating skidoo collided with parked car - whiplash
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