Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gerald Joseph Brinkman death at Halifax, Halifax County on September 4, 1971
Male Death Registration: Year: 1971 number: 5322
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005322
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Brinkman, Gerald Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 29, 1903
10. AGE in Years67 Months10 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Stevadore
13. Date last worked 1960 14. Total years 40
15. If married name of spouse Lillian Brinkman
16. NAME of Father William Brinkman
17. BIRTHPLACE Halifax
18. NAME of Mother Margaret Hogan
19. BIRTHPLACE Halifax, NS
20. Signature of Informant Mrs. Dorothy Sampson
address 2440 Agricola St., Hfx
Relationship to deceased sister
21. Place of burial Gate of Heaven, Lr. Sack
Date of burial Sept 7, 1971
22. Undertaker Cruickshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Arteriosclerotic heart disease
(c)
other
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