Male Death Registration: Year: 1971 number: 4634
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004634
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Gardiner, George Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 13, 1925
10. AGE in Years46 Months0 Days20 | hrs or mins
11. Trade or profession FR3 Fire Fighter
12. Kind of industry Dept Transport
13. Date last worked 1971 14. Total years 13 yrs
15. If married name of spouse
16. NAME of Father John Gardiner
17. BIRTHPLACE Newfoundland
18. NAME of Mother Hilda MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gary Gardiner
address 67 Bathe Rd, Glace Bay, NS
Relationship to deceased son
21. Place of burial Forest Haven, Syd-GB Hwy, CB Co. NS
Date of burial July 6, 1971
22. Undertaker Patton's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 3, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496709
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