Male Death Registration: Year: 1970 number: 4773
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004773
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St Rita Hosp
3. PRINT NAME OF DECEASED Kane, Gerald Forrest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 30, 1909
10. AGE in Years61 Months2 Days25 | hrs or mins
11. Trade or profession Ice Maker-Steward
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary
16. NAME of Father Clifford Kane
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Dorey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Mary Kane
address 32 Kitchener St.Sidney
Relationship to deceased Wife
21. Place of burial Resurrection Cemetery
Date of burial July 28 , 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490082
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