Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Herman William Gray death at Advocate Harbour, Cumberland County on November 2, 1971
Male Death Registration: Year: 1971 number: 6468
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006468
1. PLACE OF DEATH County of Cumberland If in City or Town Advocate Harbour
If death occured in a hospital or institution Bayview Memorial Hospital
3. PRINT NAME OF DECEASED Gray, Herman William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Apple River, Cumberland County
9. DATE OF BIRTH 9 15, 1886
10. AGE in Years85 Months1 Days18 | hrs or mins
11. Trade or profession Lumbering & Millwright
12. Kind of industry
13. Date last worked 1955 14. Total years 50 Years
15. If married name of spouse Ruby McCormick (deceased)
16. NAME of Father Zepthimus Gray
17. BIRTHPLACE NS
18. NAME of Mother Mary Copp
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Oriel DeWitt
address East Advocate, Cumberland Co., NS
Relationship to deceased Daughter
21. Place of burial Advocate, Cumberland Co., NS
Date of burial 4 November 1971
22. Undertaker S. W. Smith & Son Ltd., Parrsboro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 2, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b) Arteriosclerosis
(c)
other Paralytic Agitans
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