Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles William Dalton Gough death at Halifax, Halifax County on February 12, 1970
Male Death Registration: Year: 1970 number: 1685
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001685
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Gough, Charles William Dalton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 19, 1893
10. AGE in Years76 Months4 Days24 | hrs or mins
11. Trade or profession Stadacona
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Jane Creelman
16. NAME of Father Alfred Gough
17. BIRTHPLACE England
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Dalton Gough
address Fall River
Relationship to deceased Son
21. Place of burial Timberlea Cemetery
Date of burial February 16 1970
22. Undertaker R O Lindsay Funer Home Ltd, 6552 Bayers Road, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 12, 1970
CAUSE OF DEATH
(a) Cerebral embolism
(b) Severe peripheral arterial occlussive disease
(c) Atherosclerosis of arteries
other
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