Male Death Registration: Year: 1970 number: 3572
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003572
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Gullage, Roland Whalley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 12 28, 1925
10. AGE in Years44 Months4 Days26 | hrs or mins
11. Trade or profession machinist
12. Kind of industry CNR
13. Date last worked April 14, 1970 14. Total years 17
15. If married name of spouse Gladys Kettle.
16. NAME of Father Capt John Gullage
17. BIRTHPLACE Newfoundland
18. NAME of Mother Aseneth Penny
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs R W Gullage
address Port Aux Basque, Newfoundland
Relationship to deceased Wife
21. Place of burial Port Aux Basque, Newfoundland
Date of burial May 27 1970
22. Undertaker Halifax Funeral Home Ltd, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 24, 1970
CAUSE OF DEATH
(a) Melanoma.
(b) Advanced
(c) Ascites & Pleurul Effusion
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488882
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