Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Ford death at New Glasgow, Pictou County on October 17, 1971
Male Death Registration: Year: 1971 number: 6288
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006288
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Ford, Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 6 11, 1896
10. AGE in Years75 Months4 Days6 | hrs or mins
11. Trade or profession Retired Machinist
12. Kind of industry Hawker Siddeley
13. Date last worked 14. Total years
15. If married name of spouse Irene Craig
16. NAME of Father Johnathan Ford
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Martha Poole
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Roy Ford
address 636 Trenton Road, New Glasgow, Nova Scotia
Relationship to deceased Wife
21. Place of burial Lorne Cemetery , New Glasgow
Date of burial October 20, 1971
22. Undertaker R.H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1971
CAUSE OF DEATH
(a) Coronary Throbosis
(b) A.S.H.D.E.
(c) Fibrillation
other Coronary Insufficiency
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