Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Nathan Winfred Lake death at Bramber, Hants County on June 27, 1971

Male Death Registration: Year: 1971 number: 4166

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004166

1. PLACE OF DEATH   County of Hants If in City or Town Bramber

3. PRINT NAME OF DECEASED Lake, Nathan Winfred

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 4  7, 1905

10. AGE in  Years66  Months2  Days19 | hrs or mins

11. Trade or profession Labourer

12. Kind of industry Gypsum

13. Date last worked 1970       14. Total years 40

15. If married name of spouse Theresa Lake

16. NAME of Father Eldon Lake

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Vera Maude Sanford

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Beatrice Lake

      address Bramber, NS

      Relationship to deceased Daughter

21. Place of burial Bramber, NS

      Date of burial June 30,1971

22. Undertaker J. Wilson Allen, Summerville, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 27, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b) Arteriosclerosis

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496241

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