Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gary Haycox death at Dartmouth, Halifax County on November 1, 1970
Male Death Registration: Year: 1970 number: 6594
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006594
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Dartmouth Childrens Home
3. PRINT NAME OF DECEASED Haycox, Gary
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 2, 1955
10. AGE in Years15 Months8 Days30 | hrs or mins
11. Trade or profession
12. Kind of industry student
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ensor Haycox
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Fay Ivey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. E. Haycox
address 2070 Elm St, Halifax,
Relationship to deceased Mother
21. Place of burial Hillcrest Memorial Garden, Lr Sack
Date of burial Nov 4, 1970
22. Undertaker Snow & Company, Limited, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 1, 1970
CAUSE OF DEATH
(a) Acute Broncho Pneumonia
(b)
(c)
other Mongolism
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