Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Kevin Lee Gauthier death at Halifax, Halifax County on January 9, 1970

Male Death Registration: Year: 1970 number: 1194

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001194

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hospital

3. PRINT NAME OF DECEASED Gauthier, Kevin Lee

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

single

8. BIRTHPLACE Amherst

9. DATE OF BIRTH 1  4, 1970

10. AGE in  Years  Months  Days5 | hrs or mins

11. Trade or profession Infant

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Ronald Gauthier

17. BIRTHPLACE Bathurst, New Brunswick

18. NAME of Mother Nancy Johnson

19. BIRTHPLACE Amherst

20. Signature of Informant Ronald Gauthier

      address 12 James St., Amherst

      Relationship to deceased Father

21. Place of burial Highland, Amherst

      Date of burial Jan. 11, 1970

22. Undertaker Campbells’s Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 9, 1970

CAUSE OF DEATH

(a) Respiratory Distress Syndrome

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486508

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