Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ivan Kirk Corkum death at Halifax, Halifax County on December 4, 1970
Male Death Registration: Year: 1970 number: 7044
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007044
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Corkum, Ivan Kirk
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Bickerton
9. DATE OF BIRTH 3 16, 1908
10. AGE in Years62 Months8 Days18 | hrs or mins
11. Trade or profession Longshoreman
12. Kind of industry
13. Date last worked Dec 1 14. Total years 26 years
15. If married name of spouse Sarah Margaret Corkum
16. NAME of Father Ira Judson Corkum
17. BIRTHPLACE Peggy's Cove
18. NAME of Mother Agnes Kirk
19. BIRTHPLACE Guysborough County
20. Signature of Informant Sarah Margaret Corkum
address 1139 Wellington St., Halifax
Relationship to deceased Wife
21. Place of burial Port Bickerton
Date of burial December 7, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 4, 1970
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerosis
(c)
other
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