Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Louis Gaum death at Sydney, Cape Breton County on January 23, 1970
Male Death Registration: Year: 1970 number: 1234
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001234
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution 16 Victoria Rd., Sydney
3. PRINT NAME OF DECEASED Gaum, Louis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Jewish
7. Single, Married
widowed
8. BIRTHPLACE Russia
9. DATE OF BIRTH 5 10, 1882
10. AGE in Years87 Months8 Days12 | hrs or mins
11. Trade or profession merchant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Jacob Gaum
17. BIRTHPLACE Russia
18. NAME of Mother Ethel Gaum
19. BIRTHPLACE Russia
20. Signature of Informant Mrs. Mendel Chernin
address 104 St. Peter's Rd., Sydney
Relationship to deceased daughter
21. Place of burial Hebrew Cemetery, Sydney
Date of burial Jan. 23, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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