Male Death Registration: Year: 1971 number: 4685
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004685
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital, Lunenburg, NS
3. PRINT NAME OF DECEASED Meloy, Alford Wray
4. Sex
Male
5. Citizenship
American
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Washington, Penn., USA
9. DATE OF BIRTH 9 12, 1908
10. AGE in Years62 Months10 Days14 | hrs or mins
11. Trade or profession Retired Mechanic
12. Kind of industry Alloy Co.
13. Date last worked 1965 14. Total years 20
15. If married name of spouse Anna Meloy
16. NAME of Father Robert Meloy
17. BIRTHPLACE Washington, Penn.
18. NAME of Mother Pearl Ullom
19. BIRTHPLACE Washington, Penn.
20. Signature of Informant Mrs. Anna Meloy
address Brilliant, Ohio, USA
Relationship to deceased Wife
21. Place of burial Brilliant, Ohio, USA
Date of burial July 31, 1971
22. Undertaker Dana L. Sweeny Funeral Home Ltd., Lunenburg, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 26, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Arteriosclerotic heart Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496760
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