Male Death Registration: Year: 1971 number: 7115
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007115
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Roberts, John Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 16, 1923
10. AGE in Years48 Months5 Days22 | hrs or mins
11. Trade or profession
12. Kind of industry Canadian National Railway
13. Date last worked 1971 14. Total years
15. If married name of spouse Margaret Petrie
16. NAME of Father Everett Roberts
17. BIRTHPLACE NS
18. NAME of Mother Ellen Campbell
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Margaret Roberts
address 1389 Robie Street, Halifax, NS
Relationship to deceased Wife
21. Place of burial Gate of Heaven, Lower Sackville, NS
Date of burial 10 December 1971
22. Undertaker Lindsay, Bayers Road, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 8, 1971
CAUSE OF DEATH
(a) Posterior Cerebral and Superior Cerebellar Artery Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499187
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