Male Death Registration: Year: 1970 number: 2068
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002068
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camphill Hospital
3. PRINT NAME OF DECEASED Roberts, Robert Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 1 18, 1880
10. AGE in Years90 Months1 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Edward Roberts
17. BIRTHPLACE England
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr Laurence Roberts
address 6 Plymouth Drive, Dartmouth
Relationship to deceased Son
21. Place of burial Cow Bay
Date of burial March 10 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487381
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