Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Keith Donald Forbes death at Amherst, Cumberland County on October 21, 1970

Male Death Registration: Year: 1970 number: 6831

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006831

1. PLACE OF DEATH   County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital

3. PRINT NAME OF DECEASED Forbes, Keith Donald

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

single

8. BIRTHPLACE Parrsboro

9. DATE OF BIRTH 9  13, 1916

10. AGE in  Years54  Months1  Days8 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry

13. Date last worked 1969       14. Total years 32

15. If married name of spouse

16. NAME of Father Frank Forbes

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Reta McLaughlin

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Shirley Forbes

      address Parrsboro

      Relationship to deceased Sister-in-law

21. Place of burial Parrsboro

      Date of burial Oct 24 1970

22. Undertaker S W Smith & Son, Parrsboro

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 21, 1970

CAUSE OF DEATH

(a) Bowel Obstruction

(b) Fecal empaction

(c)

other Hemiplegia Hypothroidism

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