Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Russell Melvin Corkum death at Lunenburg, Lunenburg County on June 17, 1970
Male Death Registration: Year: 1970 number: 4080
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004080
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hopsital
3. PRINT NAME OF DECEASED Corkum, Russell Melvin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Middle LaHave
9. DATE OF BIRTH 7 30, 1893
10. AGE in Years76 Months10 Days18 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry Deep Sea Fishing
13. Date last worked 1968 14. Total years Lifetime
15. If married name of spouse Myrtle Corkum
16. NAME of Father Simon Corkum
17. BIRTHPLACE Middle LaHave
18. NAME of Mother Ada Shankel
19. BIRTHPLACE Middle LaHave
20. Signature of Informant Douglas Corkum
address Middle LaHave, Lun. Co.
Relationship to deceased Son
21. Place of burial Middle LaHave
Date of burial June 19, 1970
22. Undertaker Dana L. Sweeny Funeral Home Ltd. Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1970
CAUSE OF DEATH
(a) Cerebral Embolism
(b) Myocardial Infarction
(c)
other Pneumonia
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