Male Death Registration: Year: 1970 number: 3787
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003787
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Keeler, Roy St Clair
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 26, 1881
10. AGE in Years88 Months8 Days17 | 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 George Keeler
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rose Hume
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs G H Keeler
address 203 Crichton Ave, Dartmouth
Relationship to deceased Sister-in-law
21. Place of burial Mt Herman, Dart.
Date of burial June 16, 1970
22. Undertaker Mattatalls Funeral Service Ltd, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Myocardial Infarction
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489097
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