Male Death Registration: Year: 1971 number: 2058
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002058
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital, Liverpool, NS
3. PRINT NAME OF DECEASED Weagle, Lawrence Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Whiteburne, Queens Co
9. DATE OF BIRTH 5 18, 1920
10. AGE in Years50 Months7 Days20 | hrs or mins
11. Trade or profession farmer
12. Kind of industry
13. Date last worked Dec 1970 14. Total years
15. If married name of spouse
16. NAME of Father Robert Weagle
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Armstrong
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Edward Weagle
address West Caledonia, NS
Relationship to deceased Brother
21. Place of burial West Caledonia, NS
Date of burial January 11, 1971
22. Undertaker Chandlers Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 8, 1971
CAUSE OF DEATH
(a) hemorrhage from tear in vena cava at op
(b) Retroperitonial fibrosis
(c)
other non functioning Rt Kidney
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494135
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