Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harold Gordon Lee death at Middle East Pubnico, Yarmouth County on May 16, 1971
Male Death Registration: Year: 1971 number: 3536
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003536
1. PLACE OF DEATH County of Yarmouth If in City or Town Middle East Pubnico
3. PRINT NAME OF DECEASED Lee, Harold Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
American
7. Single, Married
married
8. BIRTHPLACE Masardis, Maine, USA
9. DATE OF BIRTH 4 14, 1895
10. AGE in Years76 Months1 Days2 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Orthopedic Surgeon
13. Date last worked 14. Total years
15. If married name of spouse Ann Lee
16. NAME of Father Patrick B. Lee
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary E. Leavitt
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ann O. Lee
address Middle East Pubnico, Yar. Co., NS
Relationship to deceased Wife
21. Place of burial Chebogue, Yar. Co., NS
Date of burial May 19, 1971
22. Undertaker Sweeny Funeral Home, Yar. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 16, 1971
CAUSE OF DEATH
(a) Carcinoma of Stomach
(b)
(c)
other
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