Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Kenneth Lane death at Halifax, Halifax County on September 12, 1971

Male Death Registration: Year: 1971 number: 5443

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005443

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary

3. PRINT NAME OF DECEASED Lane, Kenneth

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Malden, Massachusetts

9. DATE OF BIRTH 4  12, 1904

10. AGE in  Years67  Months5  Days | hrs or mins

11. Trade or profession Welder

12. Kind of industry

13. Date last worked 4 yrs ago       14. Total years 15

15. If married name of spouse Muriel Worwell

16. NAME of Father William Lane

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Helena Perry

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Ken E. Lane

      address Oshawa, Ontario

      Relationship to deceased Son

21. Place of burial Emmanual Cemetery, Spryfield

      Date of burial Sept 14, 1971

22. Undertaker J. Albert Walker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 12, 1971

CAUSE OF DEATH

(a) Pulmonary Embolus

(b) Respiratory Failure, Chronic Bronchitis and Emphysema

(c)

other Pulmonary Edema, 2 Cerebrovascular Accidents and Gout

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