Male Death Registration: Year: 1970 number: 5945
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005945
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 Forbes, John Doddrid
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 16, 1889
10. AGE in Years87 Months11 Days18 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1945 14. Total years 40
15. If married name of spouse
16. NAME of Father John David Forbes
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna Moulson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James B Bower
address PO Box 246 Shelburne
Relationship to deceased Nephew
21. Place of burial Pine Grove Cemetery, Shelburne
Date of burial October 9, 1970
22. Undertaker Huskilson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 4, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Chronic Nephritis
(c) Generalized Arteriosclerosis
other Myocardial ischemia Chronic Bronchitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491253
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