Male Death Registration: Year: 1971 number: 1287
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001287
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Goudey, Roy Handford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Maitland, Yar. County
9. DATE OF BIRTH 4 1, 1882
10. AGE in Years88 Months9 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Veterinarian
13. Date last worked 14. Total years
15. If married name of spouse Alice Goudey
16. NAME of Father George M Goudey
17. BIRTHPLACE Port Maitland, Nova Scotia
18. NAME of Mother Annie Allen
19. BIRTHPLACE Richmond, Yar. Co.
20. Signature of Informant C.W. Goudey
address Port Maitland, Yar. Co.
Relationship to deceased Son
21. Place of burial Port Maitland, Yar. Co.
Date of burial January 21, 1971
22. Undertaker Sweeny's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 18, 1971
CAUSE OF DEATH
(a) Congestive heart failure
(b) Septicemia
(c) ASHD
other Refractory Megaloblastic Anemia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493365
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