Male Death Registration: Year: 1971 number: 4195
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004195
1. PLACE OF DEATH County of Pictou If in City or Town Lyons Brook
If death occured in a hospital or institution Forbes Rest Home
3. PRINT NAME OF DECEASED Robson, George Henry Norman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 1, 1880
10. AGE in Years91 Months5 Days21 | hrs or mins
11. Trade or profession Retired
12. Kind of industry School Teacher
13. Date last worked 1950 14. Total years 50 yrs
15. If married name of spouse Late Annie Jane Cameron
16. NAME of Father William Robson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant John Robson
address Haliburton, Pictou Co. NS
Relationship to deceased son
21. Place of burial Haliburton Cemetery
Date of burial June 24, 1971
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 22, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Cerebrovascular Accident
(c) Generalized Arteriosclerosis
other Chronic Congestive Heart Disease Peripheral Vascular Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496270
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