Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Willard Kempton Robertson death at Sandy Point, Shelburne County on September 29, 1970
Male Death Registration: Year: 1970 number: 5806
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005806
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Robertson, Willard Kempton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 15, 1884
10. AGE in Years86 Months3 Days14 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1960 14. Total years 45 yr
15. If married name of spouse Myra Robertson
16. NAME of Father Charles Robertson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elmare Decker
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Oliver Robertson
address Osborne
Relationship to deceased Son
21. Place of burial Asborne
Date of burial October 1, 1970
22. Undertaker JM Huskeen, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Coronary Atherosclerosis
(c)
other
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