Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gordon Albert Gaetz death at Halifax, Halifax County on May 20, 1971
Male Death Registration: Year: 1971 number: 3549
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003549
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Gaetz, Gordon Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Three Fathom Harbour
9. DATE OF BIRTH 7 20, 1913
10. AGE in Years57 Months10 Days | hrs or mins
11. Trade or profession Commissionaire
12. Kind of industry
13. Date last worked 1971 14. Total years 10 yrs
15. If married name of spouse Mrs. Gladys Gaetz
16. NAME of Father Wesley Gaetz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anne Giles
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Leander Leslie
address 168 Caldwell Rd, Cole Harbour, NS
Relationship to deceased Niece
21. Place of burial Seaforth, Hfx. Co., NS
Date of burial May 24, 1971
22. Undertaker Mattatalls Funeral Services Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 20, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerosis
(c)
other
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