Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kenneth Douglas Lewis death at Halifax, Halifax County on August 9, 1970
Male Death Registration: Year: 1970 number: 4870
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004870
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, Kenneth Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Annapolis Royal
9. DATE OF BIRTH 2 1, 1946
10. AGE in Years24 Months6 Days8 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked June 70 14. Total years 4
15. If married name of spouse Lorraine Lewis
16. NAME of Father Douglas Lewis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Lewis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Kenneth Lewis
address Main St. Middleton
Relationship to deceased Wife
21. Place of burial Port Lorne
Date of burial August 12, 1970
22. Undertaker Frederick H. Roop Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 9, 1970
CAUSE OF DEATH
(a) Tumour Post forse with haemorrhage
(b) Cerebral ordema
(c) Pulmonary ordema
other
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