Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Roberts death at Halifax, Halifax County on September 3, 1970
Male Death Registration: Year: 1970 number: 6103
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006103
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 Roberts, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
married
8. BIRTHPLACE Victoria County
9. DATE OF BIRTH 10 3, 1917
10. AGE in Years52 Months10 Days4 | hrs or mins
11. Trade or profession Self employed
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mayne Roberts
16. NAME of Father John Wesley Roberts
17. BIRTHPLACE Boston, Massachusetts
18. NAME of Mother Christena McLeod
19. BIRTHPLACE Nova Scotia
20. Signature of Informant MacKeigan
address Victoria General Hospital
Relationship to deceased nil
21. Place of burial St. Joseph's Sydney Mines
Date of burial September 7, 1970
22. Undertaker George R. Francis
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1970
CAUSE OF DEATH
(a) Endotoxic shock
(b) Sub diaphragmatic abscess
(c) Possible pulmonary embolism
other
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