Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lloyd Elbert Moore death at Annapolis Royal, Annapolis County on September 1, 1970
Male Death Registration: Year: 1970 number: 5210
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005210
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital
3. PRINT NAME OF DECEASED Moore, Lloyd Elbert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Londonderry, New Hampshire, USA
9. DATE OF BIRTH 9 5, 1904
10. AGE in Years65 Months11 Days27 | hrs or mins
11. Trade or profession Machinist
12. Kind of industry
13. Date last worked 3 14. Total years 35
15. If married name of spouse Ruth I. Moore
16. NAME of Father William R. Moore
17. BIRTHPLACE United States of America
18. NAME of Mother Blanche Campbell
19. BIRTHPLACE United States of America
20. Signature of Informant Ruth I. Moore
address Annapolis Royal
Relationship to deceased Wife
21. Place of burial Stoney Beach Cemetery, Granville Beach
Date of burial September 3, 1970
22. Undertaker Chisholms Funeral Home, Granville Ferry
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 1, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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