Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Carney Adams death at Halifax, Halifax County on June 14, 1970
Male Death Registration: Year: 1970 number: 3809
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003809
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Adams, Roy Carney
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 19, 1911
10. AGE in Years59 Months4 Days26 | hrs or mins
11. Trade or profession Clerk
12. Kind of industry C N Telegraph Co
13. Date last worked June 12, 1970 14. Total years 43
15. If married name of spouse Elizabeth Adams
16. NAME of Father William Adams
17. BIRTHPLACE Halifax
18. NAME of Mother Annie May Jordon
19. BIRTHPLACE Halifax
20. Signature of Informant Donald C Adams
address 5538 Sebastian Place, Halifax
Relationship to deceased Son
21. Place of burial St John's Cemetery, Halifax
Date of burial June 17, 1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 14, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c) arterosclerosis
other
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