Male Death Registration: Year: 1970 number: 1980
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001980
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED Scott, Lawrence Randolf
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Barbados
9. DATE OF BIRTH 3 21, 1894
10. AGE in Years75 Months11 Days0 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Cominion Coal Co. Ltd.
13. Date last worked 1960 14. Total years 47
15. If married name of spouse Louise Yorke
16. NAME of Father Laurence Scott
17. BIRTHPLACE Barbadoes
18. NAME of Mother Emily Smith
19. BIRTHPLACE Britain
20. Signature of Informant Mrs. Lawrence Scott
address 697 Arthur St., Glace Bay
Relationship to deceased Wife
21. Place of burial St. Anne's, Glace Bay
Date of burial February 23, 1970
22. Undertaker V. J. McGillivray Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 21, 1970
CAUSE OF DEATH
(a) Pulmonary silicosis
(b)
(c) Cerebral hemorrhage
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487294
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