Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Willis Kaizer death at New Glasgow, Pictou County on July 10, 1971
Male Death Registration: Year: 1971 number: 4830
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004830
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Sunset Nursing Home
3. PRINT NAME OF DECEASED Kaizer, Robert Willis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 13, 1889
10. AGE in Years82 Months4 Days27 | hrs or mins
11. Trade or profession Foreman
12. Kind of industry Imperial Oil
13. Date last worked 1954 14. Total years
15. If married name of spouse
16. NAME of Father Amos Kaizer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Blanche Johnston
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. James McMillan
address Cowan Street, Westville
Relationship to deceased
21. Place of burial Auburn Cemetery, Westville, NS
Date of burial July 13, 1971
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 10, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Diabetes
(c) Cerebral Thrombosis
other
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