Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Earl Shepard death at Glace Bay, Cape County on February 11, 1970
Male Death Registration: Year: 1970 number: 1740
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001740
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital, Glace Bay
3. PRINT NAME OF DECEASED Shepard, Robert Earl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 10 14, 1909
10. AGE in Years60 Months3 Days28 | hrs or mins
11. Trade or profession Control Board Operator
12. Kind of industry Nova Scotia Power Commission
13. Date last worked March 1969 14. Total years 29
15. If married name of spouse Mrs. Mary Shepard
16. NAME of Father Clifford Shepard
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Johnston
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Fred Patten for Mrs. Mary Shepard
address 12 Shepherds Lane, Glace Bay
Relationship to deceased wife
21. Place of burial Forest Haven
Date of burial February 14, 1970
22. Undertaker Patten Funeral Home Limited 71 Union St. Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 11, 1970
CAUSE OF DEATH
(a) cancer of R lung
(b) cancer of bladder
(c)
other Daibetes
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