Male Death Registration: Year: 1971 number: 7082
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007082
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Pleasant Rest Home
3. PRINT NAME OF DECEASED Coolen, Lemuel Josiah
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Hubbards, Lunenburg County
9. DATE OF BIRTH 3 6, 1886
10. AGE in Years85 Months8 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked November 1970 14. Total years
15. If married name of spouse June P. Coolen (deceased)
16. NAME of Father Robert Coolen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Ralph Cooley
address RR #1, Liverpool, Queens Co., NS
Relationship to deceased Son
21. Place of burial Liverpool, Queens Co., NS
Date of burial 26 November 1971
22. Undertaker Chandlers' Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 24, 1971
CAUSE OF DEATH
(a) Inoperable Carcinoma of Rectum
(b)
(c)
other Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499154
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