Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Richard Sheppard death at Glace Bay, Cape Breton County on December 27, 1971
Male Death Registration: Year: 1971 number: 7625
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007625
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
3. PRINT NAME OF DECEASED Sheppard, Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 23, 1905
10. AGE in Years66 Months4 Days4 | hrs or mins
11. Trade or profession Retired miner
12. Kind of industry Dominion Coal Co.
13. Date last worked 1968 14. Total years 45
15. If married name of spouse Hazel Sheppard
16. NAME of Father Alfred Sheppard
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Phoebe Rasks
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Hazel Sheppard
address 79 Brookland St. Glace Bay
Relationship to deceased Wife
21. Place of burial Forest Haven, Grand Lake Rd.
Date of burial December 30, 1971
22. Undertaker Currys Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1971
CAUSE OF DEATH
(a) Coronary Heart Disease
(b) Congestive Heart Failure
(c) Cardiac Arrest
other
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