Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Kitchener Roy death at South West Port Mouton, Queens County on November 23, 1971
Male Death Registration: Year: 1971 number: 6981
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006981
1. PLACE OF DEATH County of Queens If in City or Town South West Port Mouton
3. PRINT NAME OF DECEASED Roy, Robert Kitchener
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE South West Port Mouton
9. DATE OF BIRTH 8 12, 1916
10. AGE in Years55 Months3 Days11 | 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 Janet MacRoy
16. NAME of Father Harris Roy
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sadie Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Janet MacRoy
address South West Port Mouton, Queens Co., NS
Relationship to deceased Wife
21. Place of burial Port Mouton, Queens Co., NS
Date of burial 27 November 1971
22. Undertaker Chandler's Funeral Home, Liverpool, Queens Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1971
CAUSE OF DEATH
(a) Carcinoma of Colan
(b)
(c)
other Polio & Diabetes
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