Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Douglas Lewis death at Halifax, Halifax County on June 16, 1970
Male Death Registration: Year: 1970 number: 3790
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003790
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Lewis, John Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Truro
9. DATE OF BIRTH 4 26, 1908
10. AGE in Years62 Months1 Days21 | hrs or mins
11. Trade or profession Dockyard
12. Kind of industry 25
13. Date last worked 14. Total years
15. If married name of spouse Marie Ruth Bayers
16. NAME of Father William Lewis
17. BIRTHPLACE Truro
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Evelyn Hebb
address 31 Elliott Dr, Dartmouth
Relationship to deceased Daughter
21. Place of burial Watson Cemetery, Truro
Date of burial June 18, 1970
22. Undertaker L D Lindsay Funeral Home Ltd, 6552 Bayers Road, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1970
CAUSE OF DEATH
(a) Pulmonary Embolus ? Cardiac Arrhythmia ?
(b) Myocardial Infarction
(c)
other ASHD
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