Male Death Registration: Year: 1970 number: 1221
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001221
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mt. Lea Lodge
3. PRINT NAME OF DECEASED Lewis, Watson Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Port Lorne
9. DATE OF BIRTH 1 1, 1879
10. AGE in Years91 Months Days9 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse Myrtle Worthylake
16. NAME of Father Norman Lewis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Comeau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Darrell Lewis
address Gulliver's Cove, Digby Co.
Relationship to deceased son
21. Place of burial Waterford, Digby Co.
Date of burial 13 January 1970
22. Undertaker Jayne's Funeral Home, Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1970
CAUSE OF DEATH
(a) Acute Lobar Pneumonia
(b) Congestive Heart Failure
(c) Senility
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486535
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