Male Death Registration: Year: 1971 number: 5904
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005904
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Lacombe, Lucien Amidee
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
Common Law
8. BIRTHPLACE Montreal, Quebec
9. DATE OF BIRTH 2 5, 1907
10. AGE in Years64 Months7 Days28 | hrs or mins
11. Trade or profession Shoemaker
12. Kind of industry
13. Date last worked 1970 14. Total years life
15. If married name of spouse Catherine Lacombe
16. NAME of Father Noi Lacombe
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Catherine Lacombe
address 4 Rambler Street, Amherst, NS
Relationship to deceased Common Law Wife
21. Place of burial St. Charles Cemetery, Amherst, NS
Date of burial 6 October 1971
22. Undertaker Furlong's Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 3, 1971
CAUSE OF DEATH
(a) Carcinoma of Breast
(b) Metastatic Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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