Male Death Registration: Year: 1971 number: 2016
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002016
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Carey, Roderick Archibald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 14, 1898
10. AGE in Years72 Months8 Days19 | hrs or mins
11. Trade or profession Painter
12. Kind of industry Painting
13. Date last worked 1951 14. Total years 30
15. If married name of spouse Lavina MacDonald
16. NAME of Father William Carey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bessie MacLeod
19. BIRTHPLACE Englishtown, Nova Scotia
20. Signature of Informant Mrs. Roderick Carey [Lavina Carey]
address New Campbellton, Victoria County
Relationship to deceased Wife
21. Place of burial New Campbellton, Nova Scotia
Date of burial March 5, 1971
22. Undertaker Fillmore and Whitman Funeral Home Limited, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 3, 1971
CAUSE OF DEATH
(a) Aortic Stenosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494093
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