Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Gordon Gates death at Blandford, Lunenburg County on June 17, 1970
Male Death Registration: Year: 1970 number: 3881
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003881
1. PLACE OF DEATH County of Lunenburg If in City or Town Blandford
3. PRINT NAME OF DECEASED Gates, Roy Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 11, 1895
10. AGE in Years74 Months7 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 1962 14. Total years
15. If married name of spouse Ardeliah Gates
16. NAME of Father Henry Gates
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maria Sawler
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ardeliah Hilda Gates
address Blandford
Relationship to deceased Wife
21. Place of burial Blandford
Date of burial June 20, 1970
22. Undertaker Davis Funeral Home, Chester
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1970
CAUSE OF DEATH
(a) acute myocardial failure
(b) chronic myocarditis
(c)
other diabetes mellitus
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