Male Death Registration: Year: 1971 number: 6819
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006819
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Robertson, Robert Presswell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Churchover, Shelburne County
9. DATE OF BIRTH 12 18, 1910
10. AGE in Years60 Months11 Days5 | hrs or mins
11. Trade or profession Invalid
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Isaac Robertson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Dedrick
19. BIRTHPLACE Nova Scotia
20. Signature of Informant E. B. Robertson
address Churchover, Shelburne Co., NS
Relationship to deceased Brother
21. Place of burial Churchover, Shelburne Co., NS
Date of burial 25 November 1971
22. Undertaker Huskilson's Funeral Home, Shelburne, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Spinal & Chest Deformity
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498892
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