Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Walter Arthur Lake death at Windsor, Hants County on October 6, 1971
Male Death Registration: Year: 1971 number: 5920
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005920
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital, Windsor, NS
3. PRINT NAME OF DECEASED Lake, Walter Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Boston, Massachusetts, USA
9. DATE OF BIRTH 3 27, 1924
10. AGE in Years47 Months6 Days8 | hrs or mins
11. Trade or profession Clerk
12. Kind of industry NS Liquor Commission
13. Date last worked 5 October 1971 14. Total years
15. If married name of spouse Jean Buchannan
16. NAME of Father Arthur Lake
17. BIRTHPLACE NS
18. NAME of Mother Bessie Smith
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Walter Lake
address Windsor, NS
Relationship to deceased Wife
21. Place of burial Windsor, Hants Co., NS
Date of burial 9 October 1971
22. Undertaker Lohnes Funeral Service Ltd, Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 6, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Previous Occlusion
(c)
other
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