Male Death Registration: Year: 1970 number: 3079
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003079
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Mental Hospital
3. PRINT NAME OF DECEASED Larson, Ernest Ludvig
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Swedish
7. Single, Married
married
8. BIRTHPLACE Kristianstad, Sweden
9. DATE OF BIRTH 8 22, 1886
10. AGE in Years Months Days | hrs or mins
11. Trade or profession Retired Longshoreman
12. Kind of industry Business Agent for Longshoremen
13. Date last worked 1950 14. Total years 35 years
15. If married name of spouse Eva Maude Larson
16. NAME of Father Peter Larson
17. BIRTHPLACE Sweden
18. NAME of Mother Margreth Andersson
19. BIRTHPLACE Sweden
20. Signature of Informant Gerald Larson
address 6121 Duncan Street, Halifax
Relationship to deceased Son
21. Place of burial Gate of Heaven Cemetery, Lower Sackville
Date of burial 7 May 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 5, 1970
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488389
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