Male Death Registration: Year: 1970 number: 2075
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002075
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED Mayo, Robert Carleton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 2, 1905
10. AGE in Years64 Months3 Days5 | hrs or mins
11. Trade or profession Checker(?) Foreman
12. Kind of industry Stevedoring
13. Date last worked December 1969 14. Total years 35
15. If married name of spouse Evelyn Mayo
16. NAME of Father William Mayo
17. BIRTHPLACE Newfoundland
18. NAME of Mother Adella Pyke
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. R. C. Mayo
address 28 Withrod Dr., Halifax
Relationship to deceased Wife
21. Place of burial Helleren's(?) Memorial (illegible), Lower Sackville
Date of burial March 10, 1970
22. Undertaker Halifax Funeral Home Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1970
CAUSE OF DEATH
(a) Carcinoma of prostate
(b) (illegible)
(c)
other Diabetes mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487388
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