Male Death Registration: Year: 1970 number: 4716
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004716
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Syvertsen, Ernest Rhu Rudolph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Swedish
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 4 10, 1905
10. AGE in Years65 Months3 Days24 | hrs or mins
11. Trade or profession Accountant
12. Kind of industry Financial
13. Date last worked 14. Total years
15. If married name of spouse Joyce Syvertsen
16. NAME of Father Alfred Syvertsen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eva Floyd
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joyce W. Syvertsen
address 51 Alma Street, Yarmouth
Relationship to deceased Wife
21. Place of burial Yarmouth
Date of burial 6 August 1970
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 3, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Atherosclerotic Heart Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490025
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