Male Death Registration: Year: 1970 number: 4015
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004015
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 Vickery, Lawrence Wade
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Arcadia
9. DATE OF BIRTH 1 20, 1880
10. AGE in Years90 Months5 Days1 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Israel Vickery
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Moulten
19. BIRTHPLACE Nova Scotia
20. Signature of Informant L.L. Vickery
address Rockville - Yarmouth Co.NS
Relationship to deceased Son
21. Place of burial Cheboque, Yar. Co.
Date of burial June 24, 1970
22. Undertaker Sweeny Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1970
CAUSE OF DEATH
(a) Cardiac renal
(b) old age - vulvular closed
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489324
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