Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Charles Gallant death at Amherst, Cumberland County on January 26, 1970
Male Death Registration: Year: 1970 number: 1360
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001360
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 Gallant, John Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Cormier Village, New Brunswick
9. DATE OF BIRTH 3 10, 1883
10. AGE in Years86 Months10 Days16 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1962 14. Total years Life
15. If married name of spouse Emlie Gallant
16. NAME of Father Charles Gallant
17. BIRTHPLACE New Brunswick
18. NAME of Mother Marie Bourgeois
19. BIRTHPLACE New Brunswick
20. Signature of Informant
address
Relationship to deceased
21. Place of burial St. Joseph, New Brunswick
Date of burial Jan 28 1970
22. Undertaker Furlongs Funeral Home Ltd., Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1970
CAUSE OF DEATH
(a) Pulmonary Embolism
(b)
(c)
other
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