Male Death Registration: Year: 1971 number: 3910
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003910
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst Point
3. PRINT NAME OF DECEASED Shipley, Lloyd Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Brookdale
9. DATE OF BIRTH 8 10, 1893
10. AGE in Years77 Months9 Days30 | hrs or mins
11. Trade or profession Dairyman
12. Kind of industry
13. Date last worked about 10 yrs ago 14. Total years Life
15. If married name of spouse Vera E. Trueman
16. NAME of Father Frederick Shipley
17. BIRTHPLACE Cumb. Co. NS
18. NAME of Mother Matilda Pugsley
19. BIRTHPLACE Cumb. Co. NS
20. Signature of Informant Eleanor Lusby
address West Amherst, NS
Relationship to deceased Daughter
21. Place of burial Amherst Cemetery Co. Amherst, NS
Date of burial June 11, 1971
22. Undertaker Furlong's Funeral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 9, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495986
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