Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Samuel Sears death at Sydney, Cape Breton County on December 27, 1970
Male Death Registration: Year: 1970 number: 7652
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007652
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Sears, Robert Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Moncton, New Brunswick
9. DATE OF BIRTH 10 8, 1892
10. AGE in Years78 Months2 Days19 | hrs or mins
11. Trade or profession Foreman
12. Kind of industry Dominion Steel and Coal Corporation
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Sears
17. BIRTHPLACE Moncton, New Brunswick
18. NAME of Mother Jennie Disart
19. BIRTHPLACE New Brunswick
20. Signature of Informant John Gunderson
address 72 Weidner Drive, Sydney
Relationship to deceased Son-in-law
21. Place of burial Forest Haven Memorial Garden, Sydney-Glace Bay Highway
Date of burial December 28, 1970
22. Undertaker R.H. Fillmore Funeral Home Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1970
CAUSE OF DEATH
(a) Cerebrovascular Deficiency
(b) Generalized Arteriosclerosis
(c)
other
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