Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bert Richard Allan Carroll death at Sydney Mines, Cape Breton County on May 5, 1970
Male Death Registration: Year: 1970 number: 3131
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003131
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Carroll, Bert Richard Allan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 21, 1930
10. AGE in Years39 Months11 Days14 | hrs or mins
11. Trade or profession Garage Operator
12. Kind of industry Auto Service Garage
13. Date last worked 4 May 1970 14. Total years 3
15. If married name of spouse Christina MacRae
16. NAME of Father Frederick Carroll
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Thompson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Richard Carroll
address Church Rd, Bras d'Or
Relationship to deceased Son
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial 7 May 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd, North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 5, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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