Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Robert Tyrone Colley death at Dartmouth, Halifax County on October 27, 1970

Male Death Registration: Year: 1970 number: 6463

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006463

1. PLACE OF DEATH   County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Portland Street Emergency Hospital

3. PRINT NAME OF DECEASED Colley, Robert Tyrone

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Negro

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 5  9, 1968

10. AGE in  Years2  Months5  Days18 | hrs or mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Robert Colley

17. BIRTHPLACE East Preston

18. NAME of Mother Lais Simons

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Robert Colley

      address East Preston

      Relationship to deceased Father

21. Place of burial East Preston

      Date of burial October 29, 1970

22. Undertaker Mattatall Funeral Service Ltd. Dartmouth

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 27, 1970

CAUSE OF DEATH

(a) Acute Bronchopneumonia

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491770

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