Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Max Royal death at Glace Bay, Cape Breton County on June 5, 1970
Male Death Registration: Year: 1970 number: 4137
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004137
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St Joseph's Hospital
3. PRINT NAME OF DECEASED Royal, Max
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 1 27, 1921
10. AGE in Years49 Months4 Days9 | hrs or mins
11. Trade or profession Grader Operator
12. Kind of industry Town of Glace Bay
13. Date last worked May, 1970 14. Total years 25
15. If married name of spouse Pearl Royal
16. NAME of Father Hayward Royal
17. BIRTHPLACE Newfoundland
18. NAME of Mother Ethel Pye
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs Pearl Royal
address 15 Vet Street, Glace Bay
Relationship to deceased wife
21. Place of burial Glace Bay
Date of burial June 8, 1970
22. Undertaker Patten Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 5, 1970
CAUSE OF DEATH
(a) Acute Coronary thrombosis & Infarction
(b)
(c)
other
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