Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur Ray Payne death at Tatamagouche, Colchester County on November 16, 1970
Male Death Registration: Year: 1970 number: 7547
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007547
1. PLACE OF DEATH County of Colchester If in City or Town Tatamagouche
If death occured in a hospital or institution Lillian Fraser Hospital
3. PRINT NAME OF DECEASED Payne, Arthur Ray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Cumberland County
9. DATE OF BIRTH 7 17, 1892
10. AGE in Years78 Months3 Days30 | hrs or mins
11. Trade or profession Retired Farmer
12. Kind of industry
13. Date last worked 1960 14. Total years 50
15. If married name of spouse Reta Payne
16. NAME of Father Francis Payne
17. BIRTHPLACE Cumberland County
18. NAME of Mother Frances Marsh
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Verda Casseboom
address 82 Metcalf St, St John, New Brunswick
Relationship to deceased Daughter
21. Place of burial Millvale
Date of burial 18 Nov 1970
22. Undertaker C W Black, Oxford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 16, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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