Male Death Registration: Year: 1970 number: 5755
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005755
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Gallant, Clifford Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 2 26, 1913
10. AGE in Years57 Months6 Days22 | hrs or mins
11. Trade or profession owner - operator
12. Kind of industry Gallants Ice Cream Plant
13. Date last worked Apr 1970 14. Total years life
15. If married name of spouse Gwen Gallant
16. NAME of Father Charles Gallant
17. BIRTHPLACE Westmorland Co, New Brunswick
18. NAME of Mother Mary Gouthreau
19. BIRTHPLACE Westmorland, New Brunswick
20. Signature of Informant Gwen Gallant
address 112 Church St, Amherst
Relationship to deceased Wife
21. Place of burial St Charles, Amherst
Date of burial 21 Sept 1970
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 17, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491063
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