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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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