Male Death Registration: Year: 1970 number: 3773
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003773
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Allen, Lemuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Forest Glen
9. DATE OF BIRTH 3 1, 1876
10. AGE in Years94 Months2 Days14 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Allen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annis Hurlburt
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Florence B Roberts
address Carleton, Yar Co
Relationship to deceased Daughter
21. Place of burial Chegoggin, Yar. Co
Date of burial May 18 1970
22. Undertaker Sweeny Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1970
CAUSE OF DEATH
(a) Senile Pneumonia
(b) ASHD
(c) Paenus
other Senility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489083
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