Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Perry Parker Lake death at East Walton, Hants County on May 14, 1970

Male Death Registration: Year: 1970 number: 3380

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003380

1. PLACE OF DEATH   County of Hants If in City or Town East Walton

3. PRINT NAME OF DECEASED Lake, Perry Parker

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE East Walton

9. DATE OF BIRTH 12  10, 1893

10. AGE in  Years76  Months5  Days4 | hrs or mins

11. Trade or profession Railroad emplyee

12. Kind of industry retired

13. Date last worked 1960       14. Total years 45 years

15. If married name of spouse Flora (Gayton) Lake (deceased)

16. NAME of Father Sylvian Isaac  Lake

17. BIRTHPLACE East Walton

18. NAME of Mother Ada S.  Parker

19. BIRTHPLACE East Walton

20. Signature of Informant Trenholm S. Lake

      address East Walton

      Relationship to deceased Brother

21. Place of burial Walton

      Date of burial 19 May, 1970

22. Undertaker Lohnes Funeral Service, Ltd., Windsor

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 14, 1970

CAUSE OF DEATH

(a) Coronery occlusion

(b) arteriosclerosis

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488690

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