Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Larry Leroy Faye death at Sandy Point, Shelburne County on December 23, 1971
Male Death Registration: Year: 1971 number: 7606
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007606
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 Faye, Larry Leroy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
single
8. BIRTHPLACE Roseway Hospital, Sandy Point, Shelburne County
9. DATE OF BIRTH 12 23, 1971
10. AGE in Years Months Days | 1 hrs or 19 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Earl Lester Davis
17. BIRTHPLACE Shelburne, Nova Scotia
18. NAME of Mother Betty Jean Smith
19. BIRTHPLACE Centreville, Nova Scotia
20. Signature of Informant Mrs. Betty Faye
address Shelburne, Nova Scotia
Relationship to deceased Mother
21. Place of burial Pine Grove Cemetery, Shelburne
Date of burial 23 December 1971
22. Undertaker Huskilson's Funeral Home, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) Morbid Prematurity
(b)
(c)
other
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