Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Herman Reid Gray death at Windsor, Hants County on March 3, 1970
Male Death Registration: Year: 1970 number: 2373
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002373
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 Gray, Herman Reid
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Culloden
9. DATE OF BIRTH ,
10. AGE in Years56 Months6 Days21 | hrs or mins
11. Trade or profession
12. Kind of industry Farmer
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Blanche Gray
16. NAME of Father Ellsworth Gray
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Andrews
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gray
address Bridgetown
Relationship to deceased Son
21. Place of burial Barton, Digby Co.
Date of burial March 13 1970
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 3, 1970
CAUSE OF DEATH
(a) Acute Cardiac Arrest
(b) Mediastinal Hemorrhage
(c) Fracture of 5 Ribs
other Passenger in a car car-truck collision
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