Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Gordon Allan Colquhoun death at Yarmouth, Yarmouth County on January 13, 1971

Male Death Registration: Year: 1971 number: 1394

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001394

1. PLACE OF DEATH   County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital

3. PRINT NAME OF DECEASED Colquhoun, Gordon Allan

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Clark's Harbour, Shelb. County

9. DATE OF BIRTH 12  6, 1894

10. AGE in  Years76  Months1  Days7 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Fisherman

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother Matilda Nickerson

19. BIRTHPLACE Shelb. Co.

20. Signature of Informant Austin G. Colquhoun

      address Sand Beach, Yar. Co.

      Relationship to deceased Son

21. Place of burial Cheboque, Yar. Co.

      Date of burial January 16, 1971

22. Undertaker Sweeny's Funeral Home, Yar.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 13, 1971

CAUSE OF DEATH

(a) Septicemia

(b) Pericarditis

(c) Exposure

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493472

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