Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Percy Eldon Gay death at Country Harbour Mines, Guysborough County on May 16, 1970
Male Death Registration: Year: 1970 number: 3495
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003495
1. PLACE OF DEATH County of Guysborough If in City or Town Country Harbour Mines
If death occured in a hospital or institution Country Harbour Mines
3. PRINT NAME OF DECEASED Gay, Percy Eldon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 5 6, 1904
10. AGE in Years66 Months Days10 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Alice Barkhouse
16. NAME of Father Robert Gay
17. BIRTHPLACE Glace Bay
18. NAME of Mother Jane Hudson
19. BIRTHPLACE Country Harbour
20. Signature of Informant Ronald M. Gay
address RR #1, Eureka
Relationship to deceased Son
21. Place of burial Country Harbour Mines
Date of burial May 19, 1970
22. Undertaker George Giffin, Goldboro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 16, 1970
CAUSE OF DEATH
(a) Chronic Interstitial Myocarditis
(b)
(c)
other Hypertension
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