Male Death Registration: Year: 1970 number: 7154
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007154
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Lewis, John Watkin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 1 22, 1886
10. AGE in Years84 Months10 Days17 | hrs or mins
11. Trade or profession Commissionaire
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mae Alice Cowper
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Robert Lewis
address RR #2,, Dutton, Quebec
Relationship to deceased Son
21. Place of burial Fernhill Cemetery, St John, New Brunswick
Date of burial Dec 14, 1970
22. Undertaker R. D. Lindsay Funeral Homes Ltd., Halifax,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 9, 1970
CAUSE OF DEATH
(a) Carcinoma of Prostate
(b)
(c)
other Bronchopneumonia Bony Metastases
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492460
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