Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Gary Robert Wallingham death at Halifax, Halifax County on October 2, 1971

Male Death Registration: Year: 1971 number: 5849

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005849

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Wallingham, Gary Robert

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 5  20, 1947

10. AGE in  Years24  Months4  Days12 | hrs or mins

11. Trade or profession Carpet Layer

12. Kind of industry

13. Date last worked 3 September 1971       14. Total years 3 years

15. If married name of spouse Carolyn Josey

16. NAME of Father Robert Wallingham

17. BIRTHPLACE Newfoundland

18. NAME of Mother Dorcas Pearce

19. BIRTHPLACE Newfoundland

20. Signature of Informant Carolyn Wallingham

      address 3100 George Dauphinee Avenue, Halifax, NS

      Relationship to deceased Wife

21. Place of burial Emmanuel Cemetery, Spryfield, Halifax, NS

      Date of burial 5 October 1971

22. Undertaker J. Albert Walker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 2, 1971

CAUSE OF DEATH

(a) Acute Peritonitis

(b) Bowel Perforation

(c)

other Motor Vehicle Accident

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