Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Raymond Corkum death at Waterville, Kings County on August 10, 1970
Male Death Registration: Year: 1970 number: 4966
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004966
1. PLACE OF DEATH County of Kings If in City or Town Waterville
If death occured in a hospital or institution Kings County Home
3. PRINT NAME OF DECEASED Corkum, Robert Raymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE East Chester
9. DATE OF BIRTH 5 , 1886
10. AGE in Years84 Months Days | hrs or mins
11. Trade or profession Labour
12. Kind of industry General Labour
13. Date last worked 1953 14. Total years 60
15. If married name of spouse
16. NAME of Father Robert Corkum
17. BIRTHPLACE East Chester
18. NAME of Mother Mary Jane Duggan
19. BIRTHPLACE East Dover
20. Signature of Informant David Corkum
address Webster Court, Kentville
Relationship to deceased Brother
21. Place of burial Canada
Date of burial August 12, 1970
22. Undertaker W. C. Hiltz Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 10, 1970
CAUSE OF DEATH
(a) Bronchiopneumonia Septecemia
(b) A S H D
(c)
other
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