Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Manford Erbon Corkum death at Halifax, Halifax County on January 12, 1970
Male Death Registration: Year: 1970 number: 1313
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001313
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Corkum, Manford Erbon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE La Have
9. DATE OF BIRTH 8 19, 1904
10. AGE in Years65 Months4 Days24 | hrs or mins
11. Trade or profession Supervisor
12. Kind of industry HMC Dockyard
13. Date last worked 1968 14. Total years 21
15. If married name of spouse
16. NAME of Father Erlon Corkum
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Shirley Whilpley
address 113 Hawthorne St Dartmouth
Relationship to deceased Daughter
21. Place of burial Dart Mem Gardens Westphal
Date of burial Jan 15, 1970
22. Undertaker Mattatall Funeral Service Ltd Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 12, 1970
CAUSE OF DEATH
(a) General debilitative Respiratory Failure
(b) lymphoma stomach 60 days
(c) pauneatic fignlas
other pleural effasin
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