Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arnold Douglas Llewellyn death at Camperdown, Lunenburg County on July 31, 1971
Male Death Registration: Year: 1971 number: 4823
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004823
1. PLACE OF DEATH County of Lunenburg If in City or Town Camperdown
3. PRINT NAME OF DECEASED Llewellyn, Arnold Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
single
8. BIRTHPLACE Bridgewater, Lun. County Nova Scotia
9. DATE OF BIRTH 6 2, 1948
10. AGE in Years23 Months1 Days29 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Deep Sea Fishing
13. Date last worked June 1971 14. Total years Approx. 5 yrs
15. If married name of spouse
16. NAME of Father Douglas Llewellyn
17. BIRTHPLACE Middlewood, Lun. Co.
18. NAME of Mother Annie RaFuse
19. BIRTHPLACE Middlewood, Lun. Co.
20. Signature of Informant Douglas Hermon Llewellyn
address Middlewood
Relationship to deceased Father
21. Place of burial Middlewood, Lun. Co.
Date of burial August 3rd, 1971
22. Undertaker Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 31, 1971
CAUSE OF DEATH
(a) Asphyxia (drowning)
(b)
(c)
other Accident: drown in Lake
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