Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gorden Farmer death at Sandy Point, Shelburne County on September 2, 1970
Male Death Registration: Year: 1970 number: 5684
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005684
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Farmer, Gorden
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
married
8. BIRTHPLACE Shelburne
9. DATE OF BIRTH 3 6, 1905
10. AGE in Years65 Months5 Days27 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years 49
15. If married name of spouse Jean Farmer
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Bertha Farmer
19. BIRTHPLACE Shelburne
20. Signature of Informant Bistha Farmer
address Shelburne
Relationship to deceased wife
21. Place of burial Pine Gove Cemetery, Shelburne
Date of burial September 5, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 2, 1970
CAUSE OF DEATH
(a) Carcinoma of Lung - weeks
(b)
(c)
other
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