Male Death Registration: Year: 1971 number: 4866
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004866
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Melville Cove , Northwest Arm
3. PRINT NAME OF DECEASED Gould, Murray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Montreal, Quebec
9. DATE OF BIRTH 7 19, 1933
10. AGE in Years38 Months Days22 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Standard Construction
13. Date last worked July 23/71 14. Total years 6 yrs
15. If married name of spouse Jean Gould
16. NAME of Father Serburne Gould
17. BIRTHPLACE Halifax, Nova Scotia
18. NAME of Mother Helen Moir
19. BIRTHPLACE Halifax, Nova Scotia
20. Signature of Informant Mrs. Jean Gould
address 6918 Mumford Road, Halifax
Relationship to deceased Wife
21. Place of burial Fairview Cemetery, Halifax, NS
Date of burial August 12, 1971
22. Undertaker Cruikshank's Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 10, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other ? Accident
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496941
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