Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Heman Eli Gates death at Lunenburg, Lunenburg County on December 25, 1971
Male Death Registration: Year: 1971 number: 7578
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007578
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Gates, Heman Eli
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Blandford, Lunenburg County
9. DATE OF BIRTH 1 10, 1882
10. AGE in Years89 Months11 Days15 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Phoebe Gates
16. NAME of Father James Gates
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Dorey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ira Gates
address Blandford, Lunenburg Co., NS
Relationship to deceased Son
21. Place of burial Blandford, Lunenburg Co., NS
Date of burial 28 December 1971
22. Undertaker Davis Funeral Home, Chester, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 25, 1971
CAUSE OF DEATH
(a) Acute Pulmonary Edema
(b) Cancer of Prostate
(c)
other
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