Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ernest Roberts death at Amherst, Cumberland County on July 15, 1971
Male Death Registration: Year: 1971 number: 4781
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004781
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 Roberts, Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Rexton, New Brunswick
9. DATE OF BIRTH 4 28, 1901
10. AGE in Years70 Months2 Days17 | hrs or mins
11. Trade or profession Labour
12. Kind of industry
13. Date last worked 1966 14. Total years life
15. If married name of spouse Jane Bigney
16. NAME of Father Henry Roberts
17. BIRTHPLACE Kent Co., NB
18. NAME of Mother Esther Campbell
19. BIRTHPLACE Kent Co., NB
20. Signature of Informant Herman J. Roberts
address 23 Roblin Ave., Toronto 360, Ont.
Relationship to deceased Son
21. Place of burial St. Charles Cemetery, Amherst, NS
Date of burial July 17, 1971
22. Undertaker Furlong's Funeral Home, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 15, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c)
other
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