Male Death Registration: Year: 1971 number: 4151
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004151
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Green, Kenneth Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 31, 1912
10. AGE in Years59 Months4 Days24 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Roy Green
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Reid
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Winston Black
address Glendale Drive, North River
Relationship to deceased daughter
21. Place of burial Watson Cemetery, Salmon River
Date of burial June 27, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 24, 1971
CAUSE OF DEATH
(a) Pulmonary Failure
(b) Pulmonary Emphysema
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496226
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