Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alfred Roberts death at Halifax, Halifax County on November 19, 1971
Male Death Registration: Year: 1971 number: 6688
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006688
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Roberts, Alfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 27, 1904
10. AGE in Years67 Months0 Days23 | hrs or mins
11. Trade or profession Stevadore
12. Kind of industry Waterfront
13. Date last worked May 1964 14. Total years 20 yrs
15. If married name of spouse Late Mary Roberts
16. NAME of Father Robert Roberts
17. BIRTHPLACE Newfoundland
18. NAME of Mother Sarah N/A
19. BIRTHPLACE Newfoundland
20. Signature of Informant (Mrs) Jean White
address 2417 Adam PLace Halifax
Relationship to deceased Step-Daughter
21. Place of burial St. Johns Cemetery, Halifax
Date of burial Nov. 22, 1971
22. Undertaker Cruikshank's Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1971
CAUSE OF DEATH
(a) Bronchogenic ca
(b)
(c)
other
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