Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Leo Gouthro death at Glace Bay, Cape County on October 5, 1970
Male Death Registration: Year: 1970 number: 5880
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005880
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Gouthro, Charles Leo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Dominion
9. DATE OF BIRTH 7 17, 1908
10. AGE in Years62 Months2 Days18 | hrs or mins
11. Trade or profession Town of Dominion
12. Kind of industry Janitor of school
13. Date last worked 1955 14. Total years
15. If married name of spouse not married
16. NAME of Father Cyril Gouthro
17. BIRTHPLACE French Vale
18. NAME of Mother Ellen Hefferman
19. BIRTHPLACE Low Point
20. Signature of Informant Mrs. John Driscoll
address 11 Currie St., Glace Bay
Relationship to deceased Sister
21. Place of burial Immaculate Conception Roman Catholic Cemetery, Dominion
Date of burial October 7 1970
22. Undertaker V. J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 5, 1970
CAUSE OF DEATH
(a) Coronary Bron( )
(b) Coronary M( )
(c)
other Jinits (?)
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