Male Death Registration: Year: 1971 number: 4114
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004114
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Dorey, Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Tantallon
9. DATE OF BIRTH 8 9, 1898
10. AGE in Years72 Months10 Days25 | hrs or mins
11. Trade or profession Moir's
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse Helena Gibbons Dorey
16. NAME of Father Nehemiah Dorey
17. BIRTHPLACE NS
18. NAME of Mother Frances Burgoine
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Helena Dorey
address 4 Holland Ave., Bedford
Relationship to deceased Wife
21. Place of burial Brookside Cemetery, Bedford
Date of burial July 7, 1971
22. Undertaker R.D. Lindsay Funeral Home Ltd., Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 4, 1971
CAUSE OF DEATH
(a) Acute Pulmonary Edema
(b) Aspiration of Vomitus
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496189
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