Male Death Registration: Year: 1971 number: 3183
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003183
1. PLACE OF DEATH County of Cumberland If in City or Town Parrsboro
If death occured in a hospital or institution Ann's Rest Home
3. PRINT NAME OF DECEASED Gavin, Martin Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Parrsboro
9. DATE OF BIRTH 5 3, 1897
10. AGE in Years74 Months Days1 | hrs or mins
11. Trade or profession merchant
12. Kind of industry
13. Date last worked May 1969 14. Total years 50
15. If married name of spouse Leta Gilroy
16. NAME of Father Augustus Gavin
17. BIRTHPLACE Parrsboro, NS
18. NAME of Mother Mary Morrisey
19. BIRTHPLACE Parrsboro, NS
20. Signature of Informant Leta M Gavin
address Parrsboro, NS
Relationship to deceased wife
21. Place of burial Parrsboro, NS
Date of burial May 6, 1971
22. Undertaker S W Smith & Son Ltd. Parrsboro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 4, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Prostatic Carcinoma
(c) Liver atrophy
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495259
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