Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Chester Elwin Gray death at Yarmouth, Yarmouth County on April 13, 1971
Male Death Registration: Year: 1971 number: 2830
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002830
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 Gray, Chester Elwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Kemptville
9. DATE OF BIRTH 8 26, 1902
10. AGE in Years68 Months7 Days18 | 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 Berthe Grey
16. NAME of Father Judson G Gray
17. BIRTHPLACE Kemptville, Yar. Co. Ns
18. NAME of Mother Georgie M Hamilton
19. BIRTHPLACE Yarmouth Co. NS
20. Signature of Informant Clarence Gray
address Walton, Mass
Relationship to deceased son
21. Place of burial Kemptville, Yar. Co. NS
Date of burial April 15, 1971
22. Undertaker Sweeny's Funeral Home, Yar. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b)
(c)
other
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