Male Death Registration: Year: 1970 number: 6019
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006019
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Malcolm, Lawson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 6 18, 1899
10. AGE in Years71 Months3 Days22 | hrs or mins
11. Trade or profession Linatype Operator
12. Kind of industry Post Record
13. Date last worked November 1969 14. Total years
15. If married name of spouse Mildred Skinner
16. NAME of Father Michael Malcolm
17. BIRTHPLACE New Glasgow
18. NAME of Mother Sarah Andrews
19. BIRTHPLACE New Glasgow
20. Signature of Informant Mrs. Lawson Malcom
address 15 Royal Ave. Sydney
Relationship to deceased Wife
21. Place of burial Forest Haven Memorial Gardens, Sydney
Date of burial October 13, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491326
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