Male Death Registration: Year: 1971 number: 4942
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004942
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 Travis, Bruce Clinton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Hastings
9. DATE OF BIRTH 10 21, 1883
10. AGE in Years87 Months9 Days17 | hrs or mins
11. Trade or profession Stationary Engineer
12. Kind of industry (Casket Factory)
13. Date last worked 1963 14. Total years 29 yrs
15. If married name of spouse Rose Travis
16. NAME of Father Thomas A Travis
17. BIRTHPLACE Cumb. Co.
18. NAME of Mother Mary L. Reade
19. BIRTHPLACE Westmoreland Co., N.B.
20. Signature of Informant Rose Francis
address 15 East Plesant St., Amherst
Relationship to deceased Wife
21. Place of burial Amherst Cemetery Co. Amherst, NS
Date of burial Aug 10, 1971
22. Undertaker Furlong's Funeral Home, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 7, 1971
CAUSE OF DEATH
(a) Senility
(b)
(c)
other Valvular Heart Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497017
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