Male Death Registration: Year: 1971 number: 2328
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002328
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital, Yarmouth
3. PRINT NAME OF DECEASED Riley, Francis Maxwell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Annapolis Royal
9. DATE OF BIRTH 7 29, 1904
10. AGE in Years66 Months7 Days14 | hrs or mins
11. Trade or profession Operator
12. Kind of industry Hertz Rent-a-Car
13. Date last worked 14. Total years
15. If married name of spouse Agnes Riley
16. NAME of Father Andrew James Riley
17. BIRTHPLACE Annapolis
18. NAME of Mother Margaret May Miller
19. BIRTHPLACE Annapolis
20. Signature of Informant Agnes Riley
address Milton Highlands, Yar. Co.
Relationship to deceased wife
21. Place of burial Annapolis Royal
Date of burial March 25, 1971
22. Undertaker Sweeny's Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 15, 1971
CAUSE OF DEATH
(a) acute myocardial infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494405
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