Male Death Registration: Year: 1970 number: 5117
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005117
1. PLACE OF DEATH County of Halifax If in City or Town North Beaver Bank
3. PRINT NAME OF DECEASED Nichilson, Roy Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 22, 1887
10. AGE in Years82 Months8 Days4 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1966 14. Total years Life
15. If married name of spouse Mary Schurman
16. NAME of Father David Nichilson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Abbie MacCulloch
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Dora Lynch
address 1278 Queen St. Halifax
Relationship to deceased Cousin
21. Place of burial North Beaverbank
Date of burial August 29, 1970
22. Undertaker Withrow - MacMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 26, 1970
CAUSE OF DEATH
(a) Broncho Pnuemonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490425
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