Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lawrence Barry Chute death at Middleton, Annapolis County on April 20, 1970

Male Death Registration: Year: 1970 number: 3816

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003816

1. PLACE OF DEATH   County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital

3. PRINT NAME OF DECEASED Chute, Lawrence Barry

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Clarence West

9. DATE OF BIRTH 1  19, 1915

10. AGE in  Years55  Months3  Days1 | hrs or mins

11. Trade or profession

12. Kind of industry Watchman

13. Date last worked       14. Total years 1

15. If married name of spouse

16. NAME of Father Judson Chute

17. BIRTHPLACE Annapolis County

18. NAME of Mother Ada Tompkins

19. BIRTHPLACE Danvers, Massachusetts

20. Signature of Informant Mrs Clifford Bent

      address Bellisle, Anna. Co

      Relationship to deceased Sister

21. Place of burial Bridgetown

      Date of burial April 22, 1970

22. Undertaker Bridgetown Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH April 20, 1970

CAUSE OF DEATH

(a) Internal injuries & brain damage

(b)

(c)

other Car accident

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