Male Death Registration: Year: 1971 number: 7642
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007642
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Martin, Roy Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Shediac, New Brunswick
9. DATE OF BIRTH 6 8, 1906
10. AGE in Years65 Months6 Days21 | hrs or mins
11. Trade or profession Cook
12. Kind of industry
13. Date last worked About 10 years ago 14. Total years life
15. If married name of spouse
16. NAME of Father Robert Martin
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Dena Gouthreau
19. BIRTHPLACE New Brunswick
20. Signature of Informant Kathleen Locombe
address 4 Rambler St. Amherst
Relationship to deceased Sister
21. Place of burial St. Charles Cemetery, Amherst
Date of burial December 31, 1971
22. Undertaker Furlongs Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 29, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499714
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