Male Death Registration: Year: 1970 number: 3221
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003221
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Lively, Robert Murray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE Hants County
9. DATE OF BIRTH 3 20, 1923
10. AGE in Years47 Months1 Days20 | hrs or mins
11. Trade or profession truck driver
12. Kind of industry
13. Date last worked Oct/69 14. Total years Life
15. If married name of spouse Leona Lively
16. NAME of Father Ellsworth Lively
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gladys McThurdie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James Lively
address Lantz
Relationship to deceased brother
21. Place of burial Sand Hill Cem, Up Nine Mile River
Date of burial May 12, 1970
22. Undertaker Ettinger Funeral Ser. Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1970
CAUSE OF DEATH
(a) ca of Lung
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488531
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