Male Death Registration: Year: 1970 number: 6902
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006902
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fisherman's Memorial Hospital
3. PRINT NAME OF DECEASED Lantz, Harris Murray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Lunenburg County
9. DATE OF BIRTH 12 7, 1901
10. AGE in Years68 Months11 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 1968 14. Total years 40
15. If married name of spouse
16. NAME of Father Arthur Jacob Lantz
17. BIRTHPLACE Lunenburg County
18. NAME of Mother Emma Whynot
19. BIRTHPLACE Lunenburg County
20. Signature of Informant Mrs Jens Graversgaard
address 2500 Robie Street, Halifax
Relationship to deceased Daughter
21. Place of burial Park Cemetery, Mahone Bay
Date of burial Nov 27 1970
22. Undertaker Mahone Funeral Serivce, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 24, 1970
CAUSE OF DEATH
(a) Peritonitis
(b) Impacted C. D. stone
(c) Blow out of stimp
other Broncho pneumonia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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