Male Death Registration: Year: 1970 number: 3713
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003713
1. PLACE OF DEATH County of Colchester If in City or Town Economy
If death occured in a hospital or institution Highway
3. PRINT NAME OF DECEASED Johnson, Gerald Brian
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 25, 1950
10. AGE in Years19 Months9 Days5 | hrs or mins
11. Trade or profession Royal Canadian Navy
12. Kind of industry
13. Date last worked 1970 14. Total years 1
15. If married name of spouse
16. NAME of Father Gerald Johnson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marie Spence
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. William Spencer
address Londonderry, Col. Co.
Relationship to deceased Grandfather
21. Place of burial Toronto, Ontario
Date of burial June 3, 1970
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 30, 1970
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489023
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