Male Death Registration: Year: 1971 number: 6104
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006104
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital, Glace Bay
3. PRINT NAME OF DECEASED Holmes, Lloyd
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Homeville, Cape Breton
9. DATE OF BIRTH 9 28, 1893
10. AGE in Years78 Months0 Days14 | hrs or mins
11. Trade or profession Retired Labour
12. Kind of industry Dominion Coal Co.
13. Date last worked 1967 14. Total years 40
15. If married name of spouse Jessie Holmes
16. NAME of Father Arnold Holmes
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Spencer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Victor Holmes
address 153 MacLean St, Glace Bay, NS
Relationship to deceased Son
21. Place of burial Greenwood Cemetery, Glace Bay, NS
Date of burial October 14, 1971
22. Undertaker Patten's Funeral Home LTD
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 12, 1971
CAUSE OF DEATH
(a) Carcinoma Pancreas
(b)
(c)
other OR Procedure Sept 29 / 1971
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498177
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