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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