Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Robert Martin death at Amherst, Cumberland County on April 26, 1970
Male Death Registration: Year: 1970 number: 3012
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003012
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Martin, John Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 4 6, 1904
10. AGE in Years66 Months0 Days20 | hrs or mins
11. Trade or profession labour
12. Kind of industry
13. Date last worked 7 or 8 years 14. Total years life
15. If married name of spouse
16. NAME of Father Robert J. Martin
17. BIRTHPLACE New Brunswick
18. NAME of Mother Dina Gouthreau
19. BIRTHPLACE New Brunswick
20. Signature of Informant [illegible] Lacombe
address 4 Rambler St. Amherst
Relationship to deceased none
21. Place of burial St. Charles Cemetery, Amherst
Date of burial April 29, 1970
22. Undertaker Furlongs Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1970
CAUSE OF DEATH
(a) Aortic [aneurysm?] with elevated NPN
(b) arteriosclerosis peripheral and central vascular disease
(c)
other
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