Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gregory Paul Sheppard death at New Waterford, Cape County on January 27, 1970
Male Death Registration: Year: 1970 number: 1464
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001464
1. PLACE OF DEATH County of Cape If in City or Town New Waterford
If death occured in a hospital or institution Consolidated Hospital
3. PRINT NAME OF DECEASED Sheppard, Gregory Paul
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 1 25, 1970
10. AGE in Years Months Days2 | hrs or mins
11. Trade or profession Child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Gregory Sheppard
17. BIRTHPLACE New Waterford
18. NAME of Mother Carol Ann Burns
19. BIRTHPLACE Norwood, Massachusetts, USA
20. Signature of Informant Gregory Sheppard
address Daley Road, New Victoria
Relationship to deceased Father
21. Place of burial St. Josephs, New Victoria
Date of burial January 27, 1970
22. Undertaker V.J. McGillivray Funeral Homes Limited, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 27, 1970
CAUSE OF DEATH
(a) Respiratory Failure
(b) Prematurity
(c)
other
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