Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Owen Gates death at Lunenburg, Lunenburg County on August 2, 1971
Male Death Registration: Year: 1971 number: 4825
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004825
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Gates, William Owen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 21, 1884
10. AGE in Years86 Months7 Days12 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1961 14. Total years
15. If married name of spouse Susan Gates
16. NAME of Father Henry Gates
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maria Sawler
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Pearl Baker
address Chester, NS
Relationship to deceased Daughter
21. Place of burial Blandford, NS
Date of burial August 5, 1971
22. Undertaker Davis Funeral Home, Chester, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 2, 1971
CAUSE OF DEATH
(a) Terminal Bronchopneumonia
(b) Cachexia
(c) Probable Carcinoma Large Bowel
other
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