Male Death Registration: Year: 1971 number: 6038
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006038
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Conrad, William Lysander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Cherry Hill, Lunenburg County
9. DATE OF BIRTH 6 28, 1891
10. AGE in Years80 Months3 Days14 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Deep Sea & Inshore Fishing
13. Date last worked 1968 14. Total years 60
15. If married name of spouse Myra Conrad
16. NAME of Father Elisha Conrad
17. BIRTHPLACE Cherry Hill, Lunenburg Co.
18. NAME of Mother Matilda Conrad
19. BIRTHPLACE Vogler's Cove, Lunenburg Co.
20. Signature of Informant Mrs. Lysander Conrad
address RR2 Mill Village, N. S.
Relationship to deceased Wife
21. Place of burial Broad Cove, Lunenburg Co.
Date of burial October 14, 1971
22. Undertaker Stan Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 12, 1971
CAUSE OF DEATH
(a) Terminal Bronchiopneumonia
(b) Agranulocytosis
(c) Aleukemic Leukemia
other Thrombocytopenia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498111
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