Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Richard Laycock death at Halifax, Halifax County on May 2, 1970
Male Death Registration: Year: 1970 number: 3072
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003072
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Laycock, Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Liverpool, England
9. DATE OF BIRTH 2 10, 1897
10. AGE in Years73 Months2 Days23 | 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
16. NAME of Father Robinson Laycock
17. BIRTHPLACE Liverpool, England
18. NAME of Mother Elizabeth Guldford
19. BIRTHPLACE England
20. Signature of Informant Mr Richard Laycock Jr
address 33 Wanda Lane, Dartmouth
Relationship to deceased Son
21. Place of burial Mt Herman Cemetery, Dartmouth
Date of burial 5 May 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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