Male Death Registration: Year: 1971 number: 5375
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005375
1. PLACE OF DEATH County of Halifax If in City or Town Fall River
3. PRINT NAME OF DECEASED Carroll, Lawrence Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sherbrooke
9. DATE OF BIRTH 5 27, 1931
10. AGE in Years40 Months3 Days6 | hrs or mins
11. Trade or profession NS Co-operative Abattoir Ltd.
12. Kind of industry
13. Date last worked 12 June 1971 14. Total years 9
15. If married name of spouse Charlotte Kelly
16. NAME of Father Farlie Carroll
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Oda Jordon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Charlotte Carroll
address Fall River, Hfx Co., NS
Relationship to deceased Wife
21. Place of burial Hillcrest Memorial Gardens, Lower Sackville, NS
Date of burial Sept 6, 1971
22. Undertaker Lindsay's, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Ischemic Heart Disease
(c)
other Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497449
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