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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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