Male Death Registration: Year: 1970 number: 6655
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006655
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED Gray, Ralph Mills
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 8 30, 1896
10. AGE in Years74 Months2 Days15 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Barber
13. Date last worked 1965 14. Total years 37
15. If married name of spouse Muriel Gray
16. NAME of Father G. Henry Gray
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rachael Mills
19. BIRTHPLACE Newfoundland
20. Signature of Informant Miss Shirley Gray
address 183 Glenforest Drive, Clayton Park, Halifax
Relationship to deceased Daughter
21. Place of burial Camp Hill Cemetery, Halifax
Date of burial Nov. 17, 1970
22. Undertaker Cruikshank Funeral Home, Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 14, 1970
CAUSE OF DEATH
(a) Carcinoma of Lung
(b)
(c)
other Anaemia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491962
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