Male Death Registration: Year: 1970 number: 3745
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003745
1. PLACE OF DEATH County of Kings If in City or Town Waterville
If death occured in a hospital or institution Kings County Hospital
3. PRINT NAME OF DECEASED Lantz, Elmer Otis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 17, 1890
10. AGE in Years79 Months9 Days28 | hrs or mins
11. Trade or profession Cooper and Farmer
12. Kind of industry
13. Date last worked 1964 14. Total years
15. If married name of spouse Glennie Kinsman
16. NAME of Father David Lantz
17. BIRTHPLACE Canada
18. NAME of Mother Melissa Gates
19. BIRTHPLACE Canada
20. Signature of Informant Mrs Glennie Lantz
address Port Williams, Kings Co.
Relationship to deceased Wife
21. Place of burial Canard Corner Cemetery
Date of burial May 16, 1970
22. Undertaker H C Lindsay Funeral Homes Ltd, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 14, 1970
CAUSE OF DEATH
(a) Hypostatic pneumonia
(b) Parkinson's Disease
(c)
other Chronic brain syndrome
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489055
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