Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lyall Ernest Lewis death at Sydney, Cape Breton County on May 7, 1971
Male Death Registration: Year: 1971 number: 3497
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003497
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Lewis, Lyall Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 18, 1887
10. AGE in Years83 Months8 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 10 yrs 14. Total years
15. If married name of spouse
16. NAME of Father Douglas Lewis
17. BIRTHPLACE Port Morien, Nova Scotia
18. NAME of Mother Ann Campbell
19. BIRTHPLACE North West Arm, Nova Scotia
20. Signature of Informant Maxine Lewis
address Edwardsville, Nova Scotia
Relationship to deceased Daughter
21. Place of burial Hardwood Hill Cemetery, Sydney
Date of burial May 10th, 1971
22. Undertaker Fillmore's Funeral Home, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 7, 1971
CAUSE OF DEATH
(a) Generalized Arteriosclerosis
(b) Cerebrovascular Accident
(c)
other
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