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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Note: car struck concrete pole on side of highway
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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