Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Ernest Shields death at Guysborough, Guysborough County on April 3, 1971
Male Death Registration: Year: 1971 number: 3507
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003507
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysborough Memorial Hospital
3. PRINT NAME OF DECEASED Shields, Robert Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Riverside Nova Scotia
9. DATE OF BIRTH 8 18, 1884
10. AGE in Years86 Months7 Days16 | hrs or mins
11. Trade or profession retired
12. Kind of industry Farmer
13. Date last worked 1954 14. Total years 50 yrs
15. If married name of spouse
16. NAME of Father Thomas Shields
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jane Torey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Earl Sceles
address RR#2 Boylston
Relationship to deceased Nephew
21. Place of burial Boylston N.S.
Date of burial April 5, 1971
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 3, 1971
CAUSE OF DEATH
(a) Carcinoma of Bronchia
(b)
(c)
other
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