Male Death Registration: Year: 1970 number: 4102
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004102
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Purcells Cove Road Halifax
3. PRINT NAME OF DECEASED Gusset, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Quebec
9. DATE OF BIRTH 10 12, 1929
10. AGE in Years40 Months8 Days12 | hrs or mins
11. Trade or profession Musician
12. Kind of industry Atlantic Symphony
13. Date last worked 14. Total years
15. If married name of spouse Monique Pariseau
16. NAME of Father Ernest Gusset
17. BIRTHPLACE Quebec
18. NAME of Mother Clelia Valenti
19. BIRTHPLACE Quebec
20. Signature of Informant Mrs George Gusset
address Duncans Cove
Relationship to deceased Wife
21. Place of burial Montreal, P.Q.
Date of burial June 26 - 1970
22. Undertaker J Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 24, 1970
CAUSE OF DEATH
(a) Multiple Head Injuries
(b) Motor Vehicle Accident
(c)
other Accident - car left road
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489411
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