Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Gordon Charles Grimm death at Middleton, Annapolis County on September 10, 1970

Male Death Registration: Year: 1970 number: 5590

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005590

1. PLACE OF DEATH   County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital

3. PRINT NAME OF DECEASED Grimm, Gordon Charles

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Springfield

9. DATE OF BIRTH 4  20, 1892

10. AGE in  Years78  Months4  Days20 | hrs or mins

11. Trade or profession Merchant

12. Kind of industry

13. Date last worked 1959       14. Total years 50

15. If married name of spouse Blanche Grimm

16. NAME of Father Simon Peter Grimm

17. BIRTHPLACE Lunenburg

18. NAME of Mother Mary Mailman

19. BIRTHPLACE New Canada

20. Signature of Informant Mrs Ralph Grimm

      address Middleton

      Relationship to deceased Sister in law

21. Place of burial Springfield

      Date of burial September 13th, 1970

22. Undertaker Frederick G. Roop Funeral Service Middleton

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 10, 1970

CAUSE OF DEATH

(a) C.V.A.

(b) diabetes mellitus gangrene rt foot

(c)

other Old C.V.A. & cerebral thrombosis

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490898

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