Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Keith Corkum death at Halifax, Halifax County on September 19, 1971
Male Death Registration: Year: 1971 number: 6299
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006299
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hospital for Children, Halifax
3. PRINT NAME OF DECEASED Corkum, David Keith
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 1, 1971
10. AGE in Years Months Days50 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father David Keith Corkum
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Carolyn Tumblin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Keith Corkum
address Dayspring, Lunenburg Co.
Relationship to deceased Father
21. Place of burial Dayspring, Lunenburg Co.
Date of burial Sept. 21, 1971
22. Undertaker Charles Sweeney, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 19, 1971
CAUSE OF DEATH
(a) Multiple congenital malformations
(b)
(c)
other
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