Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Courtney Mitchell death at Halifax, Halifax County on January 9, 1971
Male Death Registration: Year: 1971 number: 1070
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001070
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 Mitchell, Roy Courtney
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 10, 1910
10. AGE in Years60 Months3 Days29 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry General
13. Date last worked 1969 14. Total years 40
15. If married name of spouse
16. NAME of Father Obed Mitchell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Hartling
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Joyce DeWolfe
address East Chezzetcook
Relationship to deceased Sister
21. Place of burial Oyster Pond
Date of burial January 12, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Pulmonary Embolus
(b) Acute femoral artery occlusion
(c)
other
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