Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Clarence Upshaw death at Dartmouth, Halifax County on September 14, 1971
Male Death Registration: Year: 1971 number: 5513
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005513
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Burnside workplace
3. PRINT NAME OF DECEASED Upshaw, Robert Clarence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
married
8. BIRTHPLACE Three Mile Plains
9. DATE OF BIRTH 2 8, 1915
10. AGE in Years56 Months7 Days7 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Lindsay's Cont.
13. Date last worked 14. Total years
15. If married name of spouse Caroline Upshaw
16. NAME of Father Robert Upshaw
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lena Hartley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Caroline Upshaw
address Panuke Rd. Three Mile Plain
Relationship to deceased Wife
21. Place of burial Maplewood Cemetery, Windsor, NS
Date of burial Sept 18, 1971
22. Undertaker Lindsay's, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 14, 1971
CAUSE OF DEATH
(a) Fat Embolism
(b) Multiple Rib Fractures
(c) Crushing Injury by steel beam
other Work Accident
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