Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lawrence Richard Williams death at South Victoria, Cumberland County on October 10, 1971
Male Death Registration: Year: 1971 number: 6614
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006614
1. PLACE OF DEATH County of Cumberland If in City or Town South Victoria
3. PRINT NAME OF DECEASED Williams, Lawrence Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 25, 1952
10. AGE in Years18 Months9 Days15 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Auto Body Shop
13. Date last worked Oct.9/71 14. Total years 2 days
15. If married name of spouse
16. NAME of Father Laurie Williams
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ruth McEachern
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Ruth Williams
address Rockley
Relationship to deceased Mother
21. Place of burial Rockley Cemetery, Cumb. Co.
Date of burial October 13, 1971
22. Undertaker F.A. Black, Oxford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1971
CAUSE OF DEATH
(a) Massive pulmonary edema
(b) (inhalation) Carbon Monoxide pois.
(c)
other
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