Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George Gillingham death at New Waterford, Cape County on December 25, 1970
Male Death Registration: Year: 1970 number: 7749
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007749
1. PLACE OF DEATH County of Cape If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Gillingham, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 10 23, 1894
10. AGE in Years76 Months2 Days2 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 1960 14. Total years 40
15. If married name of spouse Jane Scott
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant G. T. Gillingham
address 139 Heelan St., New Waterford
Relationship to deceased Son
21. Place of burial Union Grove Cemetery, Scotchtown
Date of burial December 28, 1970
22. Undertaker V.J. McGillivray Funeral Homes Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 25, 1970
CAUSE OF DEATH
(a) Head Injury
(b)
(c)
other accident - patient fell
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