Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ralph George Gumbley death at Cornwallis, Annapolis County on May 16, 1971
Male Death Registration: Year: 1971 number: 4369
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004369
1. PLACE OF DEATH County of Annapolis If in City or Town Cornwallis
3. PRINT NAME OF DECEASED Gumbley, Ralph George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Verdun, Quebec
9. DATE OF BIRTH 2 9, 1939
10. AGE in Years32 Months3 Days7 | hrs or mins
11. Trade or profession Steward
12. Kind of industry Canadian Armed Forces
13. Date last worked 1971 14. Total years 13 yrs
15. If married name of spouse Inez Gumbley
16. NAME of Father George Gumbley
17. BIRTHPLACE Verdun, Quebec
18. NAME of Mother Mabel D. Barrett
19. BIRTHPLACE Lachine, Quebec
20. Signature of Informant Mrs. Ralph Gumbley
address 76 Hillside Drive, C.F.B. ,Cornwallis, NS
Relationship to deceased Wife
21. Place of burial at sea
Date of burial May 21, 1971
22. Undertaker Charles Dargie & Son Ltd., Annapolis Royal, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 16, 1971
CAUSE OF DEATH
(a) Carbon Monoxide Poisoning
(b)
(c)
other Suicide
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