Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lorne Edward McInnis death at Lockhartville, Kings County on November 26, 1970

Male Death Registration: Year: 1970 number: 6903

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006903

1. PLACE OF DEATH   County of Kings If in City or Town Lockhartville
If death occured in a hospital or institution on highway 101

3. PRINT NAME OF DECEASED McInnis, Lorne Edward

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

married

8. BIRTHPLACE Sheet Harbour

9. DATE OF BIRTH 7  26, 1942

10. AGE in  Years28  Months4  Days | hrs or mins

11. Trade or profession Student

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Jean Boudreau

16. NAME of Father John Charles McInnis

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Ethel Jean Cruikshank

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. Jean McInnis

      address 87 Aberdeen St. Kentville

      Relationship to deceased Wife

21. Place of burial St. Peter's Sheet Harbour

      Date of burial Nov 30, 1970

22. Undertaker Lindsays, Halifax

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 26, 1970

CAUSE OF DEATH

(a) Multiple Fractures

(b)

(c)

other Accident - Struck by motor vehicle while crossing highway

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