Male Death Registration: Year: 1970 number: 3507
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003507
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution E.K.M. Hospital, Wolfville
3. PRINT NAME OF DECEASED Gaudet, George Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH ,
10. AGE in Years59 Months Days | hrs or mins
11. Trade or profession Unemployed
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Henry Gaudet
17. BIRTHPLACE Magdalen Islands
18. NAME of Mother Lydia Veniot
19. BIRTHPLACE Magdalen Islands
20. Signature of Informant Mrs. Mary O'Hearn
address Pictou
Relationship to deceased Sister
21. Place of burial Stella Maris, Pictou
Date of burial May 6, 1970
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1970
CAUSE OF DEATH
(a) Inexcrusible shock
(b) Multiple fractures
(c)
other struck by car
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488817
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