Male Death Registration: Year: 1970 number: 1766
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001766
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Maxner, Gordon Nathaniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 12 26, 1898
10. AGE in Years71 Months1 Days20 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 14. Total years
15. If married name of spouse Mable Boyd
16. NAME of Father Robie Maxner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ann Dill
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robie Maxner
address Martock, Hants County
Relationship to deceased Son
21. Place of burial Maplewood, Windsor
Date of burial February 19, 1970
22. Undertaker Lindsay's Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 16, 1970
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487080
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