Male Death Registration: Year: 1971 number: 4261
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004261
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 Myers, Delbert Spurgeon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 4, 1881
10. AGE in Years90 Months1 Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 1955 14. Total years 40 yrs
15. If married name of spouse
16. NAME of Father William Myers
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hannah Horton
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Willard Horton
address PO Box 4, Guysborough, NS
Relationship to deceased Brother in Law
21. Place of burial Guysborough, NS
Date of burial June 7, 1971
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 4, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496336
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