Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lane Hornbrook death at Fort Lawrence, Cumberland County on August 16, 1971
Male Death Registration: Year: 1971 number: 5030
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005030
1. PLACE OF DEATH County of Cumberland If in City or Town Fort Lawrence
3. PRINT NAME OF DECEASED Hornbrook, Lane
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 3 15, 1943
10. AGE in Years28 Months5 Days1 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry Auto Transport
13. Date last worked Aug 14/71 14. Total years 2
15. If married name of spouse Gloria Hornbrook
16. NAME of Father Cecil Hornbrook
17. BIRTHPLACE New Brunswick
18. NAME of Mother Elizabeth White
19. BIRTHPLACE New Brunswick
20. Signature of Informant Ivan Truen
address West Jeddore, NS
Relationship to deceased Cousin
21. Place of burial Bathurst, NB
Date of burial August 19, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Fracture - dislocation of the neck
(b)
(c)
other Accident: 2 car collision at Fort Lawrence
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