Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John William Gray death at Halifax, Halifax County on February 8, 1970
Male Death Registration: Year: 1970 number: 1678
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001678
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Gray, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sambro
9. DATE OF BIRTH 5 24, 1904
10. AGE in Years65 Months8 Days14 | hrs or mins
11. Trade or profession Farmer, "illegible"
12. Kind of industry Emp. of Imperial Oil
13. Date last worked Nov 1957 14. Total years
15. If married name of spouse Elizabeth Gray
16. NAME of Father Samuel Gray
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hannah Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Norman Gray
address RR# 2, Pugwash
Relationship to deceased Son
21. Place of burial Pugwash River
Date of burial February
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 8, 1970
CAUSE OF DEATH
(a) Huntingtons Chorea
(b)
(c)
other
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