Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hartley Roy Forbes death at Goldboro, Guysborough County on October 29, 1970
Male Death Registration: Year: 1970 number: 6459
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006459
1. PLACE OF DEATH County of Guysborough If in City or Town Goldboro
3. PRINT NAME OF DECEASED Forbes, Hartley Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Woods Harbour
9. DATE OF BIRTH 1 4, 1896
10. AGE in Years74 Months9 Days25 | hrs or mins
11. Trade or profession Telegrapher
12. Kind of industry
13. Date last worked 1961 14. Total years 42
15. If married name of spouse Clara M Forbes
16. NAME of Father Maurice Forbes
17. BIRTHPLACE Shag Harbour
18. NAME of Mother Elsie Nickerson
19. BIRTHPLACE Shag Harbour
20. Signature of Informant Mrs. Clara M. Forbes
address Goldboro
Relationship to deceased Wife
21. Place of burial Goldboro
Date of burial November 2, 1970
22. Undertaker Parker Giffin, Goldboro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 29, 1970
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Arteriosclerosis
(c) Carcinoma of prostate
other
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