Male Death Registration: Year: 1971 number: 3054
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003054
1. PLACE OF DEATH County of Halifax If in City or Town Hammonds Plains
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Romans, Donald Stewart
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Hammonds Plains
9. DATE OF BIRTH 4 15, 1900
10. AGE in Years71 Months0 Days12 | hrs or mins
11. Trade or profession Moirs Ltd.
12. Kind of industry
13. Date last worked 1965 14. Total years 49
15. If married name of spouse
16. NAME of Father Stewart Romans
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura Brunswick
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Granville R. Romans
address Hammond Plains
Relationship to deceased Brother
21. Place of burial Hillcrest Memorial Gardens, Lr. Sackville, NS
Date of burial April 29, 1971
22. Undertaker Lindsay's, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1971
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Parkinson Disease
(c) Paralysis Agitans
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495130
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