Male Death Registration: Year: 1971 number: 2300
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002300
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution N.S. Sanitorium, Kentville
3. PRINT NAME OF DECEASED Lewis, Walter Dudley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE U.S.A.
9. DATE OF BIRTH 12 22, 1906
10. AGE in Years64 Months2 Days10 | hrs or mins
11. Trade or profession Bartender
12. Kind of industry Club
13. Date last worked Aug 1970 14. Total years 10
15. If married name of spouse
16. NAME of Father Ernest Lewis
17. BIRTHPLACE U.S.A.
18. NAME of Mother Sara Hartley
19. BIRTHPLACE U.S.A.
20. Signature of Informant Mrs. Stillman
address 381 Park Street, Kentville
Relationship to deceased
21. Place of burial Lawrencetown, Ann. Co.
Date of burial March 5, 1971
22. Undertaker H.C. Lindsay Funeral Home, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 4, 1971
CAUSE OF DEATH
(a) Bronchogenic Carcinoma
(b)
(c)
other Chronic obsructive lung disease; Pulmonary tuberculosis, inactive
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494377
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