Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sylvester Keith Goreham death at Halifax, Halifax County on May 21, 1971
Male Death Registration: Year: 1971 number: 3484
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003484
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Goreham, Sylvester Keith
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 9, 1911
10. AGE in Years60 Months1 Days12 | hrs or mins
11. Trade or profession Foreman
12. Kind of industry Irish moss plant
13. Date last worked Sept 1970 14. Total years 10 yrs
15. If married name of spouse Diana Goreham
16. NAME of Father Everette Goreham
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Winnifred Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Diana Goreham
address Woods Harbour, NS
Relationship to deceased Wife
21. Place of burial Lower Woods Harbour, NS
Date of burial May 24 1971
22. Undertaker Kennedy Funeral Service, Barrington, Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 21, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Myocardial Infarction
(c)
other
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