Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Ian Graham death at Halifax, Halifax County on October 11, 1971
Male Death Registration: Year: 1971 number: 6162
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006162
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 Graham, John Ian
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Ottawa, Ontario
9. DATE OF BIRTH 8 22, 1952
10. AGE in Years19 Months1 Days19 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Keith Graham
17. BIRTHPLACE Ontario
18. NAME of Mother Phyllis Brown
19. BIRTHPLACE Ontario
20. Signature of Informant Mr. Keith Graham
address 102 Woodlawn Avenue, Dartmouth, NS
Relationship to deceased Father
21. Place of burial Gate of Heaven Cemetery, Lower Sackville, NS
Date of burial 14 October 1971
22. Undertaker A. L. Mattatall Funeral Service Ltd., Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 11, 1971
CAUSE OF DEATH
(a) Hemorrhage - Tear of Duodenum
(b) Motor Vehicle Accident
(c)
other
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