Male Death Registration: Year: 1971 number: 1006
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001006
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Spicer Nursing Home
3. PRINT NAME OF DECEASED Gamache, Gordon Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 9, 1957
10. AGE in Years13 Months6 Days23 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Reginald Lenord Gamache
17. BIRTHPLACE Sault Ste. Marie, Ont.
18. NAME of Mother Pearl Pryor
19. BIRTHPLACE Halifax
20. Signature of Informant M. A. Spicer
address Berwick
Relationship to deceased
21. Place of burial Halifax
Date of burial January 4, 1971
22. Undertaker Cruickshank's Funeral Home, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Severe Brain Damage secondary to accident 1963
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493084
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