Male Death Registration: Year: 1970 number: 1023
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001023
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Cormack, Frank Webber
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Toronto, Ontario
9. DATE OF BIRTH 1 7, 1894
10. AGE in Years75 Months11 Days30 | hrs or mins
11. Trade or profession Ret'd Electrician
12. Kind of industry HMCS Dockyard
13. Date last worked 1967 14. Total years 30
15. If married name of spouse Harriet Cormack
16. NAME of Father Frank Cormack
17. BIRTHPLACE Ontario
18. NAME of Mother Ann Webber
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs. Frank W. Cormack
address 6517 Edgewood Ave. Halifax
Relationship to deceased Wife
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville
Date of burial Jan. 8th, 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other ASHD (Arteriosclerotic Heart Disease) /c (with) Aortic Stenosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486337
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