Male Death Registration: Year: 1970 number: 5775
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005775
1. PLACE OF DEATH County of Halifax If in City or Town Lucasville
3. PRINT NAME OF DECEASED Lucas, Allen Burke
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
single
8. BIRTHPLACE Lucasville
9. DATE OF BIRTH 12 2, 1935
10. AGE in Years34 Months9 Days26 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Stewart Lucas
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gertrude Lucas
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Stewart Lucas
address Lucasville, Halifax Co.
Relationship to deceased mother
21. Place of burial Lucasville Cemetary
Date of burial September 30, 1970
22. Undertaker Lindsays, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 28, 1970
CAUSE OF DEATH
(a) Gun hot to head
(b)
(c)
other Suicide - Shot with 12 gauge gun. At home. Autopsy
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491083
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