Male Death Registration: Year: 1971 number: 1936
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001936
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Enroute to Hosp. in Halifax
3. PRINT NAME OF DECEASED Taylor, Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Italian
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 5, 1955
10. AGE in Years15 Months4 Days16 | hrs or mins
11. Trade or profession Schoolboy
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Charles Taylor
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Williston
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charles Taylor
address 45 Fraser Ave., Sydney Mines
Relationship to deceased Father
21. Place of burial St. Joseph's, Sydney Mines
Date of burial February 24, 1971
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 21, 1971
CAUSE OF DEATH
(a) Laceration of Brain
(b) Fractured Skull
(c) Road Accident
other Abrasion of Rt knee, back of both hands
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494014
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