Male Death Registration: Year: 1971 number: 1435
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001435
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge
3. PRINT NAME OF DECEASED Fletcher, Robert J.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 8, 1877
10. AGE in Years93 Months6 Days8 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Railroad Section
13. Date last worked 1940 14. Total years Life
15. If married name of spouse Georgina Williams
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Lionel Fletcher
address Wilmot, Annapolis Co.
Relationship to deceased Son
21. Place of burial So. Farmington
Date of burial January 18, 1971
22. Undertaker Warren T. Roop Ltd., Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) Dehydration
(b) Inability to swallow
(c)
other Post operative prostatectomy
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493513
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