Male Death Registration: Year: 1971 number: 3385
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003385
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital, Antigonish
3. PRINT NAME OF DECEASED Myers, Lorne Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Guysborough
9. DATE OF BIRTH 4 2, 1886
10. AGE in Years85 Months1 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 14. Total years
15. If married name of spouse Beatrice Hallett
16. NAME of Father Samuel Myers
17. BIRTHPLACE NS
18. NAME of Mother Elizabeth Fenton
19. BIRTHPLACE NS
20. Signature of Informant Gladys Blennerhassett
address 59 Archie Street, Antigonish, NS
Relationship to deceased Daughter
21. Place of burial Union Church Cemetery, Stormont, Guys. Co., NS
Date of burial 11 May 1971
22. Undertaker Curry Brothers Funeral Directors Ltd., Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 8, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Myocardial degeneration
(c) Arteriosclerotic cardiovascular disease
other operation for bowel obstruction - Incarcerated inguinal hernia Repair
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495461
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