Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gloria Claire Roy death at Cole Harbour, Halifax County on July 20, 1971
Female Death Registration: Year: 1971 number: 4800
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004800
1. PLACE OF DEATH County of Halifax If in City or Town Cole Harbour
If death occured in a hospital or institution Halifax County Hospital, Cole Harbour, NS
3. PRINT NAME OF DECEASED Roy, Gloria Claire
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 21, 1930
10. AGE in Years41 Months Days9 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Clem Roy
17. BIRTHPLACE Stellarton
18. NAME of Mother Charlotte Coleman
19. BIRTHPLACE Westville
20. Signature of Informant Mrs. June Carlson
address Halifax County Hospital, Cole Harbour, NS
Relationship to deceased
21. Place of burial Auburn Cemetery, Westville, NS
Date of burial Aug 2 1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 20, 1971
CAUSE OF DEATH
(a) Drowning
(b) suicide
(c)
other Chronic mental disease Suicide: Drowned in Cole Harbour
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