Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Roy Lester Morton death at Yarmouth, Yarmouth County on September 17, 1971

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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