Male Death Registration: Year: 1970 number: 3436
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003436
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 Gorman, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 7 18, 1885
10. AGE in Years84 Months10 Days9 | hrs or mins
11. Trade or profession Ship Builder
12. Kind of industry Halifax Ship Yards
13. Date last worked 21 ago 14. Total years
15. If married name of spouse Mrs Annie Gorman
16. NAME of Father Daniel Gorman
17. BIRTHPLACE India
18. NAME of Mother Agnes Newcombe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Una Pelletier
address Horton Ave West, Winnipeg
Relationship to deceased daughter
21. Place of burial Transcona Cemetery, Winnipeg
Date of burial May 29, 1970
22. Undertaker Cruickshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1970
CAUSE OF DEATH
(a) Cerebral Infarction
(b) Arteriosclerosis
(c) Senility
other Senile Emphysema Congestive Cardiac Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488746
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