Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ralph Hayward Keniston death at Dayton, Yarmouth County on August 10, 1970
Male Death Registration: Year: 1970 number: 4993
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004993
1. PLACE OF DEATH County of Yarmouth If in City or Town Dayton
If death occured in a hospital or institution Villa St Joseph
3. PRINT NAME OF DECEASED Keniston, Ralph Hayward
4. Sex
Male
5. Citizenship
American
6. Racial Origin
American
7. Single, Married
married
8. BIRTHPLACE Somerville, Massachusetts, USA
9. DATE OF BIRTH 7 5, 1883
10. AGE in Years87 Months1 Days5 | hrs or mins
11. Trade or profession Retired
12. Kind of industry University Professor
13. Date last worked 14. Total years
15. If married name of spouse Roberta Keniston
16. NAME of Father Charles Edgar Keniston
17. BIRTHPLACE USA
18. NAME of Mother Sarah Hayward
19. BIRTHPLACE USA
20. Signature of Informant Robeta Keniston
address 2222 Fuller Rd, Apt 1002, Ann Arbor, Michigan
Relationship to deceased Wife
21. Place of burial Boulder, Colorado, USA
Date of burial August 12, 1970
22. Undertaker Sweeny Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 10, 1970
CAUSE OF DEATH
(a) Emphyzema
(b) Chronic Bronchitis
(c)
other ASHD Hypertension
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