Male Death Registration: Year: 1971 number: 1931
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001931
1. PLACE OF DEATH County of Pictou If in City or Town Stellarton
If death occured in a hospital or institution Acadia St, Stellarton, NS
3. PRINT NAME OF DECEASED Lays, Freeman Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 9, 1908
10. AGE in Years62 Months3 Days | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mine
13. Date last worked 14. Total years
15. If married name of spouse Ethel Brown
16. NAME of Father Alexander Lays
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie Stewart
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Herb Lays
address Hopewell, Nova Scotia
Relationship to deceased son
21. Place of burial Lourdes Cemetery, Stellarton, NS
Date of burial Feb 12, 1971
22. Undertaker Eagles Funeral Home, Westville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1971
CAUSE OF DEATH
(a) Chronic Respiratory [illegible]
(b) [illegible]
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494009
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