Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lawrence Melvin Russell death at Halifax, Halifax County on December 1, 1971
Male Death Registration: Year: 1971 number: 6865
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006865
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Russell, Lawrence Melvin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE West Lawrencetown, Halifax County
9. DATE OF BIRTH 11 16, 1907
10. AGE in Years64 Months Days15 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Percy Russell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maud Naugle
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Aubrey Conrad
address 58 Rose Street, Dartmouth, NS
Relationship to deceased Sister in Law
21. Place of burial West Lawrencetown, Halifax Co., NS
Date of burial 4 December 1971
22. Undertaker Mattatall Funeral Service Ltd., Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 1, 1971
CAUSE OF DEATH
(a) Congestive Cardiac Failure
(b) Arteriosclerotic Heart Disease
(c)
other Atrial Fibrillation
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