Male Death Registration: Year: 1970 number: 6407
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006407
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Martin, Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 6 10, 1884
10. AGE in Years86 Months4 Days21 | hrs or mins
11. Trade or profession Retired farmer
12. Kind of industry
13. Date last worked 1955 14. Total years Life
15. If married name of spouse Late Josephine Martin
16. NAME of Father Lawrence Martin
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Lawrence A. Martin
address 226 Epworth Ave, London Ont
Relationship to deceased son
21. Place of burial Gate of Heaven, Lr Sackville
Date of burial Nov. 3 - 1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 31, 1970
CAUSE OF DEATH
(a) Cancer of Larynx
(b) secondary metastasis
(c) rheumatoid arthritis
other myocardial insufficiency
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491714
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