Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gary Wilfred Allen death at Blackett's Lake, Cape Breton County on May 30, 1970
Male Death Registration: Year: 1970 number: 3697
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003697
1. PLACE OF DEATH County of Cape Breton If in City or Town Blackett's Lake
If death occured in a hospital or institution on Highway
3. PRINT NAME OF DECEASED Allen, Gary Wilfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 3 14, 1951
10. AGE in Years19 Months2 Days16 | hrs or mins
11. Trade or profession Student
12. Kind of industry Sydney Academy
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Wilfred Allen
17. BIRTHPLACE Yarmouth
18. NAME of Mother Irene MacGillivray
19. BIRTHPLACE Sydney
20. Signature of Informant Wilfred Allen
address 320 Newlands Ave., Sydney
Relationship to deceased Father
21. Place of burial Forest Haven Memorial Gardens, Sydney. Glace Bay Highway, C.B
Date of burial June 3, 1970
22. Undertaker R. H. Fillmore Funeral Home Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 30, 1970
CAUSE OF DEATH
(a) Dislocation Cervical spine
(b) (Car Accident)
(c)
other
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