Male Death Registration: Year: 1970 number: 5576
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005576
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Moore, Richard Stephen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 29, 1953
10. AGE in Years16 Months9 Days | hrs or mins
11. Trade or profession Student
12. Kind of industry School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Richard Vincent Moore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Barbara Gee
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Richard V. Moore
address Kentville
Relationship to deceased Father
21. Place of burial Elm Grove Cem. Kentville
Date of burial Sept 22 1970
22. Undertaker H.C. Lindsay Funeral Home Lt. Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 19, 1970
CAUSE OF DEATH
(a) Pericardial Effusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490884
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