Male Death Registration: Year: 1971 number: 4093
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004093
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Gengaro, Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Italian
7. Single, Married
married
8. BIRTHPLACE Pittsburg, Mass. USA
9. DATE OF BIRTH 10 8, 1908
10. AGE in Years62 Months8 Days16 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Stevadore
13. Date last worked Sept-70 14. Total years 43 yrs
15. If married name of spouse Eilleen Gengaro
16. NAME of Father Pelegrino Gengaro
17. BIRTHPLACE Italy
18. NAME of Mother Rosina Spicer
19. BIRTHPLACE USA
20. Signature of Informant Eilleen Gengaro
address 5397 Young St. Halifax, NS
Relationship to deceased Wife
21. Place of burial Gate of Heaven, Lower Sackville, NS
Date of burial 26 June 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 24, 1971
CAUSE OF DEATH
(a) amyotrophic lateral sclerosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496168
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