Male Death Registration: Year: 1970 number: 6090
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006090
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Lamrock, Melburn
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 15, 1890
10. AGE in Years80 Months8 Days23 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 1960 14. Total years 53
15. If married name of spouse Pearle Lamrock
16. NAME of Father Joshua Lamrock
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Melissa Larkin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Ida Pearle Lamrock
address RR #1, Barrington, Shelburne Co.
Relationship to deceased Wife
21. Place of burial Barrington, Shelburne Co.
Date of burial 12 October 1970
22. Undertaker Kenney Funeral Services, Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 8, 1970
CAUSE OF DEATH
(a) Uraemia and Renal Failure
(b) Hypotension
(c) Dehydration
other Cerebral Embolism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491397
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