Male Death Registration: Year: 1970 number: 3064
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003064
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Lewis, Douglas Frederick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 25, 1910
10. AGE in Years60 Months1 Days4 | hrs or mins
11. Trade or profession Retired Labour
12. Kind of industry Roy Judge Limited
13. Date last worked February 1970 14. Total years 2 years
15. If married name of spouse Camilla Lewis
16. NAME of Father Harold Lewis
17. BIRTHPLACE
18. NAME of Mother Catherine
19. BIRTHPLACE
20. Signature of Informant Bruce Hyland
address 99 Rosedale Avenue, Halifax
Relationship to deceased Step Son
21. Place of burial Mount Olivet
Date of burial May 2, 1970
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 29, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488374
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