Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Dale Moore death at Glace Bay, Cape Breton County on March 3, 1970
Male Death Registration: Year: 1970 number: 1989
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001989
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED Moore, Robert Dale
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 8 16, 1951
10. AGE in Years18 Months6 Days15 | hrs or mins
11. Trade or profession Invalid pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse (not recorded)
16. NAME of Father Robert Moore
17. BIRTHPLACE Glace Bay
18. NAME of Mother Eva Evelyn Campbell
19. BIRTHPLACE Glace Bay
20. Signature of Informant Robert W. Moore
address 5-1/2 Bruce St. Glace Bay
Relationship to deceased Father
21. Place of burial Glace Bay
Date of burial March 7, 1970
22. Undertaker Pattens Funeral Home Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 3, 1970
CAUSE OF DEATH
(a) Subacute bacterial endocarditis
(b) Rheumatic heart disease
(c)
other Peptic ulcer
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