Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lewis Benjamin Conrad death at Caledonia, Queens County on September 29, 1971
Male Death Registration: Year: 1971 number: 5948
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005948
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Conrad, Lewis Benjamin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Eagle Head
9. DATE OF BIRTH 5 15, 1895
10. AGE in Years76 Months4 Days13 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 1952 14. Total years
15. If married name of spouse Anna S. Conrad
16. NAME of Father Benjamin Conrad
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie E. Colp
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Phyllis Conrad
address Eagle Head, Queens Co.
Relationship to deceased Daughter
21. Place of burial West Berlin
Date of burial October 2, 1971
22. Undertaker Chandler's Funeral Service Ltd., Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1971
CAUSE OF DEATH
(a) Carcinoma of Liver
(b)
(c)
other
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