Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Horsman death at Lunenburg, Lunenburg County on September 14, 1970
Male Death Registration: Year: 1970 number: 5675
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005675
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution 70 Victoria Street, Lunenburg
3. PRINT NAME OF DECEASED Horsman, Roy
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE St. John, New Brunswick
9. DATE OF BIRTH 3 10, 1908
10. AGE in Years62 Months6 Days4 | hrs or mins
11. Trade or profession Plumber
12. Kind of industry Plumbing
13. Date last worked September 1970 14. Total years
15. If married name of spouse Ann Arvanites
16. NAME of Father Thomas Horsman
17. BIRTHPLACE New Brunswick
18. NAME of Mother Ethel Dunham
19. BIRTHPLACE Fairville, New Brunswick
20. Signature of Informant Ann Arvanites Horsman
address 88 County Rd. Ispwick, Massachusetts, USA
Relationship to deceased Wife
21. Place of burial Highland Cemetery, Ispwick, Massachusetts, USA
Date of burial September 18, 1970
22. Undertaker Dana L. Sweeny Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 14, 1970
CAUSE OF DEATH
(a) Cornary Occlusion
(b)
(c)
other
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