Male Death Registration: Year: 1971 number: 4778
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004778
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Barnes, Vaughan Rayworth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 7 29, 1912
10. AGE in Years58 Months11 Days7 | hrs or mins
11. Trade or profession Oil Dealer
12. Kind of industry Home Heating
13. Date last worked 7 June '71 14. Total years 41
15. If married name of spouse Christine Taylor Barnes
16. NAME of Father Ernest Wilbur Barnes
17. BIRTHPLACE River Philip, NS
18. NAME of Mother Ruby Augusta Rayworth
19. BIRTHPLACE Moncton, NB
20. Signature of Informant Mrs Christine Barnes
address 58 1/2 Prince Arthur St, Amherst, NS
Relationship to deceased wife
21. Place of burial Amherst, NS
Date of burial July 9, 1971
22. Undertaker Campbell's Funeral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 6, 1971
CAUSE OF DEATH
(a) Bronchogenic Carcinoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496853
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