Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Reginald Vincent Kaulback death at Bridgewater, Lunenburg County on May 22, 1970
Male Death Registration: Year: 1970 number: 3515
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003515
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital, Bridgewater
3. PRINT NAME OF DECEASED Kaulback, Reginald Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Crousetown
9. DATE OF BIRTH 12 22, 1915
10. AGE in Years54 Months5 Days0 | hrs or mins
11. Trade or profession Lumberman
12. Kind of industry Lumbering, wood's work, etc.
13. Date last worked April 1970 14. Total years Approx. 40 years
15. If married name of spouse Mrs. Mabel Kaulback
16. NAME of Father Mr. Amos Kaulback
17. BIRTHPLACE Crousetown
18. NAME of Mother Miss Eldora Langille
19. BIRTHPLACE Maitland
20. Signature of Informant Mrs. Reginald Kaulback
address Crousetown, (RR #2, Italy Cross)
Relationship to deceased Wife
21. Place of burial Crousetown, Lun. Co.
Date of burial May 25, 1970
22. Undertaker Stan N. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 22, 1970
CAUSE OF DEATH
(a) Cerebral metastatic Carcinoma
(b) Mediastinal malignant tumour
(c)
other Detailed report of autopsy from pathologist will not be for several days
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