Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elmer Vincent Forbes death at Brookfield, Colchester County on September 15, 1970
Male Death Registration: Year: 1970 number: 5637
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005637
1. PLACE OF DEATH County of Colchester If in City or Town Brookfield
If death occured in a hospital or institution Brookfield on Highway
3. PRINT NAME OF DECEASED Forbes, Elmer Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Five Mile River
9. DATE OF BIRTH 12 6, 1890
10. AGE in Years79 Months Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry Clergyman
13. Date last worked 1962 14. Total years Life
15. If married name of spouse
16. NAME of Father John Forbes
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Bentley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss Beatrice Mosher
address 11 Victoria St., Truro
Relationship to deceased Niece
21. Place of burial Stewiacke East
Date of burial 18 Sept'70
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 15, 1970
CAUSE OF DEATH
(a) Multiple Injuries
(b) Automobile Accident
(c) Ischemic Heart Disease (Possibly Causing Loss of Consciousness)
other
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