Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Gunderson death at Halifax, Halifax County on June 28, 1971
Male Death Registration: Year: 1971 number: 4098
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004098
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa
3. PRINT NAME OF DECEASED Gunderson, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Norwegian
7. Single, Married
single
8. BIRTHPLACE Norway
9. DATE OF BIRTH ,
10. AGE in Years67 Months Days | hrs or mins
11. Trade or profession Seaman
12. Kind of industry
13. Date last worked 1965 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Pastor Clinton Rohn
address 6120 Allen Street, Halifax
Relationship to deceased Executor of Will
21. Place of burial Hillcrest Memorial Gardens, Lr. Sackville
Date of burial June 30, 1971
22. Undertaker Lindsay's, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1971
CAUSE OF DEATH
(a) Carcinoma Pancreas
(b)
(c)
other
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