Male Death Registration: Year: 1971 number: 1009
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001009
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 2357 Moran St., Halifax
3. PRINT NAME OF DECEASED Silver, Robert Pearson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Goldboro
9. DATE OF BIRTH 5 9, 1910
10. AGE in Years60 Months7 Days23 | hrs or mins
11. Trade or profession Pipe-fitter
12. Kind of industry H.M.C. Dockyard
13. Date last worked Dec. 14/70 14. Total years 20
15. If married name of spouse Mary Silver
16. NAME of Father Harry Silver
17. BIRTHPLACE Goldboro, Guys. Co.
18. NAME of Mother Queen Davidson
19. BIRTHPLACE Goldboro, Guys. Co.
20. Signature of Informant Mrs. Mary Silver
address 2357 Moran Street, Hfx.
Relationship to deceased wife
21. Place of burial Goldboro
Date of burial January 2, 1971
22. Undertaker Cruickshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1971
CAUSE OF DEATH
(a) Coronary occlusion
(b) arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493087
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