Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Claude Rene Gravel death at Halifax, Halifax County on May 27, 1970
Male Death Registration: Year: 1970 number: 3661
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003661
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Gravel, Claude Rene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Montreal, Quebec
9. DATE OF BIRTH 3 31, 1952
10. AGE in Years18 Months1 Days27 | hrs or mins
11. Trade or profession Private
12. Kind of industry Can. Armed Forces.
13. Date last worked May 17, 1970 14. Total years 6 mos.
15. If married name of spouse
16. NAME of Father Maurice Gravel
17. BIRTHPLACE Quebec
18. NAME of Mother Georgette N.A.
19. BIRTHPLACE Quebec
20. Signature of Informant Lt. Commander J. W. Williamson
address Can. Forces Base Halifax
Relationship to deceased None
21. Place of burial Montreal, P. Q.
Date of burial May 28, 1970
22. Undertaker Cruikshank Funeral Home , Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1970
CAUSE OF DEATH
(a) Subdural Hematoma
(b) Motor Vehicle Accident
(c)
other
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