Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Raymond Garfield Lake death at Windsor, Hants County on September 13, 1971
Male Death Registration: Year: 1971 number: 6368
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006368
1. PLACE OF DEATH County of Hants If in City or Town Windsor
3. PRINT NAME OF DECEASED Lake, Raymond Garfield
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Avondale, Hants County
9. DATE OF BIRTH 12 2, 1911
10. AGE in Years60 Months9 Days11 | hrs or mins
11. Trade or profession Painter
12. Kind of industry Painting
13. Date last worked 1971 14. Total years 35
15. If married name of spouse Mrs. Marie Lake
16. NAME of Father Henry Lake
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida Mason
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robert Lake
address Windsor, N. S.
Relationship to deceased son
21. Place of burial Maplewood, Windsor
Date of burial Sept. 15, 1971
22. Undertaker R. D. Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1971
CAUSE OF DEATH
(a) Laceration of brain
(b) fractured skull
(c)
other
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