Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Larry Lawrence Mansfield death at Middleton, Annapolis County on December 22, 1970
Male Death Registration: Year: 1970 number: 7410
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007410
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Mansfield, Larry Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Bridgetown
9. DATE OF BIRTH , 1886
10. AGE in Years84 Months Days | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Susan Mansfield
16. NAME of Father Larry Lawrence Mansfield
17. BIRTHPLACE Bridgetown
18. NAME of Mother Liza German
19. BIRTHPLACE
20. Signature of Informant Roy Mansfield
address Bridgetown
Relationship to deceased Son
21. Place of burial Bridgetown
Date of burial December 24, 1970
22. Undertaker Robert L. Hall
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1970
CAUSE OF DEATH
(a) Cerebral hemorrhage
(b)
(c)
other
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