Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Albert Roy death at Liverpool, Queens County on September 4, 1971
Male Death Registration: Year: 1971 number: 5413
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005413
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Enroute to Queens General Hospital
3. PRINT NAME OF DECEASED Roy, William Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 2 22, 1910
10. AGE in Years61 Months6 Days13 | hrs or mins
11. Trade or profession Bookbinder
12. Kind of industry K & W Enterprises Liverpool
13. Date last worked Sept 3/71 14. Total years 6 years
15. If married name of spouse Lillian Arabella Roy
16. NAME of Father William A. Roy
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Meade Shubley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Albert E. Roy
address PO Box 285, Liverpool, NS
Relationship to deceased Son
21. Place of burial Liverpool, Queens Co., NS
Date of burial Sept 6 1971
22. Undertaker Chandlers' Funeral Services Ltd., Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Obesity
(c) Primary Muscle Disorder
other
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