Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lawrence Richard Coolen death at Halifax, Halifax County on April 13, 1971

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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