Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Arthur Gray death at Yarmouth, Yarmouth County on May 10, 1971
Male Death Registration: Year: 1971 number: 3464
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003464
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Gray, Roy Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Pleasant Valley, Yar. County
9. DATE OF BIRTH 1 19, 1898
10. AGE in Years73 Months3 Days21 | hrs or mins
11. Trade or profession At home
12. Kind of industry Milk Delivery
13. Date last worked 14. Total years
15. If married name of spouse Vera Gray
16. NAME of Father William Gray
17. BIRTHPLACE Pleasant Valley
18. NAME of Mother Bertha Higby
19. BIRTHPLACE Yarmouth
20. Signature of Informant Mrs. Vera Gray
address 116 Parade St., Yarmouth
Relationship to deceased Wife
21. Place of burial Pleasant Valley, Yar. Co.
Date of burial May 12, 1971
22. Undertaker Sweeny's Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1971
CAUSE OF DEATH
(a) Acute myocardial infarction
(b) Cerebral Thrombosis
(c) Diabetes Mellitus
other
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