Male Death Registration: Year: 1971 number: 2927
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002927
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Lantz, Elmer Curtis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Ross
9. DATE OF BIRTH 12 11, 1935
10. AGE in Years35 Months4 Days2 | hrs or mins
11. Trade or profession Timber man
12. Kind of industry woods work
13. Date last worked 1970 14. Total years
15. If married name of spouse Shirley Collicutt
16. NAME of Father Asaph Lantz
17. BIRTHPLACE New Ross, NS
18. NAME of Mother Elsie Sarty
19. BIRTHPLACE Northfield, NS
20. Signature of Informant Mrs Shirley Lantz
address New Ross, NS
Relationship to deceased wife
21. Place of burial New Ross, NS
Date of burial April 15, 1971
22. Undertaker H C Lindsay Funeral Homes Ltd, Kentville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1971
CAUSE OF DEATH
(a) Malignant Neoplasm of large intestine with multiple metastesis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495004
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