Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Cole Lively death at Halifax, Halifax County on September 5, 1971
Male Death Registration: Year: 1971 number: 5323
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005323
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 6533 Cork Street
3. PRINT NAME OF DECEASED Lively, Robert Cole
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
separated
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 2, 1927
10. AGE in Years44 Months6 Days3 | hrs or mins
11. Trade or profession Unemployed
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ruth Drysdale
16. NAME of Father John Lively
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Myrtle Morash
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Florence MacLean
address 6355 Cork Street, Halifax
Relationship to deceased Sister
21. Place of burial St. Johns, Halifax
Date of burial Sept 8, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 5, 1971
CAUSE OF DEATH
(a) Myocardial Infarction with Coronary Thrombosis
(b) Chronic heart disease
(c)
other
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