Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Michael Roberts death at Head of Jeddore, Halifax County on May 8, 1970
Male Death Registration: Year: 1970 number: 3627
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003627
1. PLACE OF DEATH County of Halifax If in City or Town Head of Jeddore
3. PRINT NAME OF DECEASED Roberts, Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 11 20, 1895
10. AGE in Years74 Months5 Days18 | hrs or mins
11. Trade or profession Longshoreman
12. Kind of industry Stevedoring
13. Date last worked Jan. 1966 14. Total years 40
15. If married name of spouse
16. NAME of Father John Roberts
17. BIRTHPLACE Newfoundland
18. NAME of Mother Mary Parsons
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mary Irene Roberts
address 976 Ritchie Drive, Halifax
Relationship to deceased Daughter
21. Place of burial Head Jeddore.
Date of burial May 10, 1970
22. Undertaker Rowlings Funeral Service Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 8, 1970
CAUSE OF DEATH
(a) Myocardial Infraction
(b)
(c)
other
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