Male Death Registration: Year: 1970 number: 5274
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005274
1. PLACE OF DEATH County of Halifax If in City or Town Chaswood
3. PRINT NAME OF DECEASED Gallant, Galase Urban
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 4 10, 1909
10. AGE in Years61 Months4 Days21 | hrs or mins
11. Trade or profession Trucking
12. Kind of industry
13. Date last worked 1970 14. Total years 20 years
15. If married name of spouse Susan Gallant
16. NAME of Father Francis Gallant
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Mary Gallant
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Mrs. Susan Gallant
address Elmsdale, Hants Co.
Relationship to deceased Wife
21. Place of burial St. Bernards, Enfield
Date of burial 3 September 1970
22. Undertaker Withrow - MacMillan, Elmsdale
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 31, 1970
CAUSE OF DEATH
(a) Multiple Fractured Ribs and Internal Injuries
(b) Crushed under Truck Body
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490582
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