Male Death Registration: Year: 1970 number: 7253
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007253
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 Roche, Raymond Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 10 22, 1906
10. AGE in Years64 Months1 Days25 | hrs or mins
11. Trade or profession Plumber
12. Kind of industry
13. Date last worked March 1970 14. Total years 35
15. If married name of spouse Edna Florence
16. NAME of Father Callin Williams
17. BIRTHPLACE Dartmouth
18. NAME of Mother Irene Manley
19. BIRTHPLACE Dartmouth
20. Signature of Informant Ralph E. Roche
address Canadian Forces Base Cornwallis
Relationship to deceased Son
21. Place of burial Lakeview, Billtown
Date of burial December 19, 1970
22. Undertaker W.C. Hiltz Funeral Home, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 17, 1970
CAUSE OF DEATH
(a) Carcinoma of Lungs
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492559
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