Male Death Registration: Year: 1971 number: 4818
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004818
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Langille, Roy Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Stonehurst, Lun. County
9. DATE OF BIRTH 11 30, 1915
10. AGE in Years55 Months6 Days29 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Langille
17. BIRTHPLACE Tancook Island
18. NAME of Mother Louise Risser
19. BIRTHPLACE Stonehurst
20. Signature of Informant Mrs. Mark Berringer
address 191 Townsend St., Lunenburg, NS
Relationship to deceased Sister
21. Place of burial Heckman's Island, Lun. Co.
Date of burial July 1, 1971
22. Undertaker Dana L. Sweeney Funeral Home, Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 29, 1971
CAUSE OF DEATH
(a) Subdural Hematoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496893
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