Male Death Registration: Year: 1971 number: 3196
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003196
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Kelley, Laurence Theodore
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Hampshire, USA
9. DATE OF BIRTH 7 30, 1905
10. AGE in Years65 Months8 Days27 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1965 14. Total years
15. If married name of spouse Hilda Kelley
16. NAME of Father Harold Kelley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Thurston
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Hilda Kelley
address Lockhartville, NS
Relationship to deceased wife
21. Place of burial St.. John, NB
Date of burial April 30, 1971
22. Undertaker Lohnes Funeral Service Ltd, Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Two previous infarctions
(c)
other Pulmonary Oedema
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495272
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