Male Death Registration: Year: 1971 number: 2701
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002701
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital for Children
3. PRINT NAME OF DECEASED Coolen, Lawrence Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 7 18, 1963
10. AGE in Years7 Months8 Days26 | hrs or mins
11. Trade or profession child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse single
16. NAME of Father Lawrence Coolen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eva Christian
19. BIRTHPLACE Nova Scotia
20. Signature of Informant L. Keith Coolen
address 6520 Roslyn Rd, Hfx
Relationship to deceased Father
21. Place of burial East Dover Cemetery
Date of burial April 15, 1971
22. Undertaker Lindsay's, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1971
CAUSE OF DEATH
(a) Post anoxic encephalopathy
(b) Congenital cyanotic
(c) heart disease
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494778
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