Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Keith Vernon Lutz death at Berwick, Kings County on June 2, 1970
Male Death Registration: Year: 1970 number: 3747
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003747
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Lutz, Keith Vernon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Lake Paul
9. DATE OF BIRTH 12 25, 1899
10. AGE in Years70 Months6 Days23 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ethel Joudrey
16. NAME of Father Charles Lutz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura Tupper
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Alton Lutz
address Lake George. Kings Co.
Relationship to deceased Son
21. Place of burial Morristown Cemetery Kings Co.
Date of burial June 4, 1970
22. Undertaker H.C. Lindsay Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Asthma
(c)
other
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