Male Death Registration: Year: 1970 number: 5828
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005828
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hosp
3. PRINT NAME OF DECEASED Cooper, Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Truro
9. DATE OF BIRTH 2 25, 1925
10. AGE in Years45 Months7 Days11 | hrs or mins
11. Trade or profession owner & operator
12. Kind of industry G losper store
13. Date last worked 1970 14. Total years
15. If married name of spouse Muriel Cuvelier
16. NAME of Father Alexander Cooper
17. BIRTHPLACE Scotland
18. NAME of Mother Mary Hepburn
19. BIRTHPLACE Scotland
20. Signature of Informant Muriel Cooper
address 2710 Belle Aire Terrace, Hlfxwife
Relationship to deceased wife
21. Place of burial Robie ?? Cemetery, Truro
Date of burial Oct 8, 1970
22. Undertaker R D Lindsay Funeral Home Ltd, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 6, 1970
CAUSE OF DEATH
(a) Bronchogenic C A
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491136
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