Male Death Registration: Year: 1971 number: 2980
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002980
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K. Hospital, Halifax, NS
3. PRINT NAME OF DECEASED Barkhouse, Gary Allan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
8. BIRTHPLACE Lunenburg
9. DATE OF BIRTH 10 15, 1963
10. AGE in Years7 Months6 Days9 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ervin Barkhouse
17. BIRTHPLACE Martins Point
18. NAME of Mother Rosa Hatt
19. BIRTHPLACE Chester Basin
20. Signature of Informant Ervin Barkhouse
address Gold River, Lun. Co. NS
Relationship to deceased father
21. Place of burial Western Shore, NS
Date of burial April 25, 1971
22. Undertaker Mahone Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 22, 1971
CAUSE OF DEATH
(a) hemorrhage
(b) Thrombocytopenia
(c) Acute leukemia
other Candidiasis Herpes 2 Infection
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495057
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