Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lewis Wilfred Gallipeau death at Sandy Point, Shelburne County on November 28, 1971
Male Death Registration: Year: 1971 number: 7106
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007106
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Gallipeau, Lewis Wilfred
4. Sex
Male
5. Citizenship
American
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE United States of America
9. DATE OF BIRTH 1 16, 1907
10. AGE in Years64 Months10 Days12 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry
13. Date last worked 1965 14. Total years 30 years
15. If married name of spouse Mrs. Alice Gallipeau
16. NAME of Father Frank Gallipeau
17. BIRTHPLACE United States of America
18. NAME of Mother Mena Dupray
19. BIRTHPLACE Quebec
20. Signature of Informant Mrs. Sylvia R. Thompson
address Rockland, Shelburne Co., NS
Relationship to deceased Daughter
21. Place of burial Rockland Cemetery, Rockland, Shelburne Co., NS
Date of burial 1 December 1971
22. Undertaker Huskilson's Funeral Home, Lockeport, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 28, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis & Myocardial Infarction
(b) Coronary Atherosclerosis
(c)
other Emphysema
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