Male Death Registration: Year: 1971 number: 1478
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001478
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution N.S. Hospital
3. PRINT NAME OF DECEASED Randall, Gordon Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 24, 1893
10. AGE in Years77 Months7 Days7 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Medical Records & Mr. S.A. Randall
address Bridgewater
Relationship to deceased
21. Place of burial Upper La Have, Lun. Co.
Date of burial February 3, 1971
22. Undertaker Sweeney's Funeral Home, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 31, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Fibrillation
(c)
other Old inactive pulmonary T.B.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493556
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