Female Death Registration: Year: 1970 number: 4357
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004357
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Mental Hospital
3. PRINT NAME OF DECEASED Gorman, Helene Marie Blanche
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 22, 1905
10. AGE in Years65 Months1 Days26 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Houseduties
13. Date last worked 1965 14. Total years 45
15. If married name of spouse John Joseph Gorman
16. NAME of Father Adelaide Fortier
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Helene Bissonette
address 22 Carnation Crescent Spryfield
Relationship to deceased Daughter
21. Place of burial Gate of Heaven Lower Sackville
Date of burial July 21 70
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 18, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Diabetes
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489666
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