Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gordon Fraser death at Middle Musquodoboit, Halifax County on January 14, 1971
Male Death Registration: Year: 1971 number: 1622
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001622
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodoboit
If death occured in a hospital or institution Musquodoboit Hospital
3. PRINT NAME OF DECEASED Fraser, Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Upper Musquodoboit
9. DATE OF BIRTH 10 21, 1900
10. AGE in Years70 Months2 Days23 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 8 Oct 70 14. Total years Life
15. If married name of spouse Ellen (Dean) Fraser
16. NAME of Father William Fraser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Martha Millen
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Gordon Fraser
address Musquodoboit
Relationship to deceased Wife
21. Place of burial Upper Musquodoboit
Date of burial January 16, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1971
CAUSE OF DEATH
(a) glioma of brain
(b)
(c)
other
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