Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Vernon Wilbur Goreham death at Lower Woods Harbour, Shelburne County on September 29, 1971
Male Death Registration: Year: 1971 number: 5815
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005815
1. PLACE OF DEATH County of Shelburne If in City or Town Lower Woods Harbour
3. PRINT NAME OF DECEASED Goreham, Vernon Wilbur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 27, 1908
10. AGE in Years63 Months Days2 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked May 1971 14. Total years 46 years
15. If married name of spouse Melissa Goreham
16. NAME of Father Arthur Goreham
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ethel Crowell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Melissa Goreham
address Lower Woods Harbour, Shelburne Co., NS
Relationship to deceased Wife
21. Place of burial Shag Harbour, Shelburne Co., NS
Date of burial 1 October 1971
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Coronary Artery Disease
(c)
other Hypertension
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