Male Death Registration: Year: 1970 number: 5847
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005847
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Lane, John Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 10 2, 1908
10. AGE in Years61 Months11 Days29 | hrs or mins
11. Trade or profession unemployed
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Capt Joseph Lane
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Elizabeth Ryan
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Mrs Nina Martele
address 24 Towerview Drive, Halifax
Relationship to deceased Sister
21. Place of burial Fairview Cemetery Halifax
Date of burial Oct 2 - 1970
22. Undertaker J Allen Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 1, 1970
CAUSE OF DEATH
(a) Coronary occlusion
(b) arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491155
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