Male Death Registration: Year: 1970 number: 5777
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005777
1. PLACE OF DEATH County of Halifax If in City or Town Eastern Passage
If death occured in a hospital or institution Ocean View Manor Eastern Passage
3. PRINT NAME OF DECEASED Llewellyn, Abbott Garfield
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Bridgewater
9. DATE OF BIRTH 1 10, 1958
10. AGE in Years12 Months8 Days21 | hrs or mins
11. Trade or profession Nil
12. Kind of industry Nil
13. Date last worked Nil 14. Total years Nil
15. If married name of spouse Single
16. NAME of Father Mr Wylie Corkum
17. BIRTHPLACE Pleasantville
18. NAME of Mother Izilda Marion Llewellyn
19. BIRTHPLACE Italy Cross
20. Signature of Informant Alberta C. Lynch
address Ocean View Manor, Eastern Passage Halifax Co.
Relationship to deceased (None)
21. Place of burial Pleasantville
Date of burial October 3rd, 1970
22. Undertaker Stan H. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 1, 1970
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491085
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