Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gordon Leonard Wagner death at Glace Bay, Cape Breton County on February 10, 1970
Male Death Registration: Year: 1970 number: 1976
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001976
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution 779 Foundry St., Glace Bay
3. PRINT NAME OF DECEASED Wagner, Gordon Leonard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Dominion
9. DATE OF BIRTH 9 1, 1911
10. AGE in Years58 Months5 Days9 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Dominion Coal Company
13. Date last worked 1952 14. Total years 20
15. If married name of spouse Helen Wagner
16. NAME of Father Herbert Wagner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Owens
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Pat Chase
address 19 Ranna Drive, Sydney
Relationship to deceased Daughter
21. Place of burial Glace Bay
Date of burial February 13, 1970
22. Undertaker Patten Funeral Home Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 10, 1970
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b)
(c)
other
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