Male Death Registration: Year: 1970 number: 6431
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006431
1. PLACE OF DEATH County of Cape Breton If in City or Town Louisbourg
3. PRINT NAME OF DECEASED Stevens, Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Forchu
9. DATE OF BIRTH 9 16, 1904
10. AGE in Years66 Months1 Days3 | hrs or mins
11. Trade or profession General Merchant
12. Kind of industry
13. Date last worked 10 years ago 14. Total years
15. If married name of spouse Alberta Le Vatte
16. NAME of Father Gordon Stevens
17. BIRTHPLACE Tancook
18. NAME of Mother Bessie Thomas
19. BIRTHPLACE Tancook
20. Signature of Informant Mrs. Bernard Bezanson
address Louisbourg
Relationship to deceased Daughter
21. Place of burial Ocean View Cemetery, Louisbourg
Date of burial Oct 22, 1970
22. Undertaker R.H. Fillmore Funeral Home, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 19, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Pulmonary Emphy.....
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491738
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