Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gerald Leroy Allan death at Upper Falmouth, Hants County on September 21, 1970
Male Death Registration: Year: 1970 number: 5778
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005778
1. PLACE OF DEATH County of Hants If in City or Town Upper Falmouth
3. PRINT NAME OF DECEASED Allan, Gerald Leroy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Springfield
9. DATE OF BIRTH 4 , 1916
10. AGE in Years54 Months4 Days | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry
13. Date last worked Sept,1970 14. Total years 25
15. If married name of spouse Marie (Leopold) Allen
16. NAME of Father Clarence Allen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mabel Wile
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Irvine Pemberton
address Newport,Corner,Hants Co,Nova Scotia
Relationship to deceased Daughter
21. Place of burial Maplewood Cemetery
Date of burial September 23,1970
22. Undertaker LOHNES FUNERAL SERVICE LTD,Windsor ,Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 21, 1970
CAUSE OF DEATH
(a) Gunshot Wound chin,Face,Brain
(b)
(c)
other
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