Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Archibald Gormley death at Windsor, Hants County on June 7, 1971
Male Death Registration: Year: 1971 number: 4269
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004269
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Gormley, John Archibald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Falmouth
9. DATE OF BIRTH 5 3, 1885
10. AGE in Years86 Months1 Days4 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1966 14. Total years 63
15. If married name of spouse
16. NAME of Father Henry Gormley
17. BIRTHPLACE NS
18. NAME of Mother Agnes Benedict
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Earl Faulkener
address Hantsport, NS
Relationship to deceased Niece
21. Place of burial Upper Falmouth, NS
Date of burial June 9, 1971
22. Undertaker Lohnes Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 7, 1971
CAUSE OF DEATH
(a) Carcinoma of Rectum
(b)
(c)
other
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