Male Death Registration: Year: 1971 number: 5050
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005050
1. PLACE OF DEATH County of Pictou If in City or Town Waterville
If death occured in a hospital or institution Kings County Hospital
3. PRINT NAME OF DECEASED Carson, Laurie Rockwell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Danish
7. Single, Married
single
8. BIRTHPLACE Centerville, Kings County
9. DATE OF BIRTH 8 22, 1903
10. AGE in Years67 Months11 Days22 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Lumbering
13. Date last worked Nov1961 14. Total years 40 years
15. If married name of spouse
16. NAME of Father Henry A. Carson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma J. Pearl
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald S. Huntler
address East Halls Harbour, Kings County, NS
Relationship to deceased nephew
21. Place of burial Pereau, Kings Co, NS
Date of burial August 15, 1971
22. Undertaker John Pleovert, Kentville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 13, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Cerebrovascular Accident
(c)
other Chronic Brain Syndrome with Paranoid traits
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497124
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