Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Raymond William Corkum death at Bridgewater, Lunenburg County on February 10, 1971
Male Death Registration: Year: 1971 number: 1651
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001651
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Corkum, Raymond William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 25, 1899
10. AGE in Years71 Months8 Days16 | 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 Sadie Corkum
16. NAME of Father William Corkum
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Leona Crowell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Raymond Corkum
address 112 North Street, Bridgewater
Relationship to deceased Wife
21. Place of burial Harmony Mills, Queens Co.
Date of burial Feb. 13, 1971
22. Undertaker Charles Sweeney, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 10, 1971
CAUSE OF DEATH
(a) Carcinoma of Liver
(b)
(c)
other
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