Male Death Registration: Year: 1971 number: 2666
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002666
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Robertson, Darrell Ross
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 7 5, 1939
10. AGE in Years31 Months8 Days24 | hrs or mins
11. Trade or profession mentally retarded
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Earle Robertson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ruth Page
19. BIRTHPLACE Nova Scotia
20. Signature of Informant J. Earle Robertson
address Port Joli, Queens Co.
Relationship to deceased Father
21. Place of burial Port Mouton, Queens Co.
Date of burial March 31, 1971
22. Undertaker Chandlers' Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 29, 1971
CAUSE OF DEATH
(a) Patent Ductus Arteriosis
(b) Intervibular (?) Birth Defect
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494743
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