Male Death Registration: Year: 1971 number: 5633
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005633
1. PLACE OF DEATH County of Hants If in City or Town Noel Road
3. PRINT NAME OF DECEASED White, Gordon Leroy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Gormanville, Hants County
9. DATE OF BIRTH 7 20, 1971
10. AGE in Years31 Months1 Days22 | hrs or mins
11. Trade or profession Self-employed
12. Kind of industry Lumbering
13. Date last worked September 11 1971 14. Total years Life
15. If married name of spouse Audrey Alice Wood
16. NAME of Father Leonard White
17. BIRTHPLACE Gormanville Hants Co.
18. NAME of Mother Gladys Harvey
19. BIRTHPLACE Gormanville, Hants Co.
20. Signature of Informant Mrs. Gordon White
address Gormanville, Hants Co. N.S.
Relationship to deceased Wife
21. Place of burial St. Pauls United Church, Gormanville
Date of burial September 14, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 12, 1971
CAUSE OF DEATH
(a) Multiple fractures of skull with loss of brain content
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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