Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Swim death at Waterville, Kings County on October 10, 1970
Male Death Registration: Year: 1970 number: 6323
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006323
1. PLACE OF DEATH County of Kings If in City or Town Waterville
If death occured in a hospital or institution Kings Co. Hospital
3. PRINT NAME OF DECEASED Swim, Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 12, 1883
10. AGE in Years86 Months9 Days28 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1954 14. Total years 52
15. If married name of spouse Lillias Swim
16. NAME of Father Jethro Swim
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lillian
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Ralph Nickerson
address Clarks Harbor
Relationship to deceased daughter
21. Place of burial Lr. Clarks Harbor
Date of burial October 13th, 1970
22. Undertaker Kenney Funeral Service (Per T.A.K.) Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1970
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Advanced Renal Disease
(c)
other Ch. organic Brain Syndrome
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