Male Death Registration: Year: 1971 number: 5795
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005795
1. PLACE OF DEATH County of Pictou If in City or Town Stellarton
3. PRINT NAME OF DECEASED Miller, Lawrence Dickson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 23, 1917
10. AGE in Years54 Months3 Days1 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Construction
13. Date last worked 1971 14. Total years
15. If married name of spouse Elizabeth Somple
16. NAME of Father Joseph Miller
17. BIRTHPLACE Scotland
18. NAME of Mother Laura Dickson
19. BIRTHPLACE Magdalen Islands
20. Signature of Informant Mrs. Elizabeth Miller
address Rutherford St. Stellarton
Relationship to deceased Wife
21. Place of burial Christ Anglican
Date of burial July 27, 1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 24, 1971
CAUSE OF DEATH
(a) Multiple Visceral injuries and skeletal fractures with bleeding
(b)
(c)
other Accident - car pedestrian accident.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497869
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