Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Richard Winston Kelly death at Yarmouth, Yarmouth County on May 14, 1971
Male Death Registration: Year: 1971 number: 3466
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003466
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 Kelly, Richard Winston
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Montreal
9. DATE OF BIRTH 11 6, 1904
10. AGE in Years66 Months6 Days8 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Under Writer
13. Date last worked 14. Total years
15. If married name of spouse Doreen Kelly
16. NAME of Father David Kelly
17. BIRTHPLACE Ireland
18. NAME of Mother Barbara MacDowell
19. BIRTHPLACE Scotland
20. Signature of Informant W.S. Suie fie (?)
address Fairvale, N.B.
Relationship to deceased Son-in-law
21. Place of burial Yarmouth
Date of burial May 17, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 14, 1971
CAUSE OF DEATH
(a) Prostatic Carcinoma
(b) Metastasis to bone
(c)
other
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