Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Burnell Stanley Corkum death at Halifax, Halifax County on December 20, 1970
Male Death Registration: Year: 1970 number: 7380
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007380
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, Burnell Stanley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 7, 1897
10. AGE in Years73 Months1 Days13 | hrs or mins
11. Trade or profession Merchant, Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Hazel Corkum
16. NAME of Father Whitney Corkum
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bessie Sellars
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charlotte Corkum
address Chester Basin
Relationship to deceased Daughter-in-Law
21. Place of burial Chester Basin
Date of burial December 22, 1970
22. Undertaker Davis Funeral Home, Chester
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 20, 1970
CAUSE OF DEATH
(a) Ventricular Fibrillation
(b) Pneumonia
(c) Aortic Valve Disease
other Cholelithiasis and Cholangitis
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