Male Death Registration: Year: 1971 number: 6335
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006335
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital, Sydney Mines, NS
3. PRINT NAME OF DECEASED Squarey, Robert Nelson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Roseville, Michigan USA
9. DATE OF BIRTH 10 18, 1930
10. AGE in Years41 Months0 Days14 | hrs or mins
11. Trade or profession SAfety Inspector
12. Kind of industry Trucking
13. Date last worked 1963 14. Total years 10
15. If married name of spouse Ruby MacIntosh
16. NAME of Father George Squarey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Bell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant A MacIntosh
address 13 Pond St, Sydney Mines, NS
Relationship to deceased Brother in Law
21. Place of burial Brookside Cemetery, Sydney Mines, NS
Date of burial Nov 5 1971
22. Undertaker Fillmore & Whitman Funeral Home, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 2, 1971
CAUSE OF DEATH
(a) Uremia
(b) bowel obstruction
(c) paralytic ileus
other acute coronary infarction
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498408
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