Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Forrest death at Springhill, Cumberland County on May 27, 1971
Male Death Registration: Year: 1971 number: 3580
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003580
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Springhill Hospital
3. PRINT NAME OF DECEASED Forrest, Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 21, 1904
10. AGE in Years67 Months4 Days6 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1958 14. Total years 27 yrs
15. If married name of spouse Louise Maude Forrest
16. NAME of Father James Howard Forrest
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Daye
19. BIRTHPLACE Nova Scotia
20. Signature of Informant (Mrs. V. J.) Blanche Maxwell
address 176 A Laval Street, Ottawa 7, Ont.
Relationship to deceased Daughter
21. Place of burial Springhill, NS
Date of burial May 29, 1971
22. Undertaker A. H. Brown Funeral Service Ltd., Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1971
CAUSE OF DEATH
(a) Auricular Fibrillation
(b) Congestive Heart Failure
(c)
other Gross Edema
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