Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ernest Edwin Locke death at Halifax, Halifax County on July 14, 1971
Male Death Registration: Year: 1971 number: 4591
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004591
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution VG Hospital Halifax
3. PRINT NAME OF DECEASED Locke, Ernest Edwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 22, 1948
10. AGE in Years23 Months1 Days25 | hrs or mins
11. Trade or profession Clerical work
12. Kind of industry
13. Date last worked 1971 14. Total years 1 year
15. If married name of spouse
16. NAME of Father Mr Cecil Locke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Willetta Goreham
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Cecil Locke
address RR# 2 Jordan Bay, Shelbourne Co, NS
Relationship to deceased father
21. Place of burial Gordon Bay Cemetery
Date of burial July 17, 1971
22. Undertaker Huskilson's Funeral Home, Shelb. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 14, 1971
CAUSE OF DEATH
(a) Multiple head injuries
(b) Cause unknown as yet
(c)
other Chronic renal failure with renal transplant
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