Male Death Registration: Year: 1971 number: 5669
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005669
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Morton, Roy Lester
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Frendship, Maine, USA
9. DATE OF BIRTH 5 20, 1895
10. AGE in Years76 Months3 Days28 | hrs or mins
11. Trade or profession Retired Fishing Captain
12. Kind of industry Fishing
13. Date last worked 14. Total years
15. If married name of spouse Dorothy Morton
16. NAME of Father Albert Morton
17. BIRTHPLACE USA
18. NAME of Mother Ella Stirling
19. BIRTHPLACE USA
20. Signature of Informant Dorothy Morton
address 20 A Baker Street, Yarmouth, NS
Relationship to deceased Wife
21. Place of burial Yarmouth, NS
Date of burial 20 September 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 17, 1971
CAUSE OF DEATH
(a) Acute Massive Cardiac Infarction with Ventricular Fibrillation
(b) Diffuse Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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