Male Death Registration: Year: 1971 number: 4459
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004459
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann Hospital
3. PRINT NAME OF DECEASED Haskell, Robert E.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 3 28, 1888
10. AGE in Years83 Months3 Days4 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Bertha Haskell
16. NAME of Father Henry Haskell
17. BIRTHPLACE Newfoundland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Bertha Haskell
address West Arichat
Relationship to deceased Wife
21. Place of burial Arichat, Rich. Co.
Date of burial July 4, 1971
22. Undertaker C. A. Boucher Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 2, 1971
CAUSE OF DEATH
(a) Acute Stroke with Cerebral Thrombisis
(b) Congestive Cardiac Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496534
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