Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Orlando Broome death at Liverpool, Queens County on December 3, 1971
Male Death Registration: Year: 1971 number: 7103
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007103
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Broome, Orlando
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Hunts Point, Queens County
9. DATE OF BIRTH 4 23, 1892
10. AGE in Years79 Months7 Days10 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry
13. Date last worked 1966 14. Total years
15. If married name of spouse Naomi Broome
16. NAME of Father John Broome
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amelia MacLeod
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Robie Bowers
address RR #1, Port Mouton, Queens Co., NS
Relationship to deceased Daughter
21. Place of burial Port Mouton, Queens Co., NS
Date of burial 6 December 1971
22. Undertaker Chandlers' Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 3, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Generalized Arteriosclerosis
(c)
other
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