Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sylvester Richard death at Hazel Hill, Guysborough County on May 12, 1970
Male Death Registration: Year: 1970 number: 3300
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003300
1. PLACE OF DEATH County of Guysborough If in City or Town Hazel Hill
If death occured in a hospital or institution Hazel Hill Rest Home
3. PRINT NAME OF DECEASED Richard, Sylvester
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Charlos Cove
9. DATE OF BIRTH 5 8, 1891
10. AGE in Years79 Months Days4 | 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 John Richard
17. BIRTHPLACE UK
18. NAME of Mother Angeline Richard
19. BIRTHPLACE UK
20. Signature of Informant Velma C Beaumont, RN
address Hazel Hill Rest Home, Hazel Hill
Relationship to deceased Supt. of Home
21. Place of burial Charlos Cove
Date of burial May 14, 1970
22. Undertaker Nathan Rhynold, Ship Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 12, 1970
CAUSE OF DEATH
(a) Uraemia
(b) Chronic Uninary Infection
(c) Cerebral Thrombosis
other
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