Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Lawrence Lonergan death at Berwick, Kings County on December 13, 1971
Male Death Registration: Year: 1971 number: 7233
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007233
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Lonergan, Douglas Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Dalhousie, Kings County
9. DATE OF BIRTH 10 31, 1897
10. AGE in Years74 Months1 Days12 | hrs or mins
11. Trade or profession Lumberman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Verna Barkhouse
16. NAME of Father Daniel Lonergan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alvretta Veinotte
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Maxine Lonergan
address Dalhousie, Kings Co., NS
Relationship to deceased Daughter
21. Place of burial Cypriannas Anglican Church Cemetery, Dalhousie, Kings Co., NS
Date of burial 16 December 1971
22. Undertaker H. C. Lindsay, Berwick, Kings Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 13, 1971
CAUSE OF DEATH
(a) Pulmonary Embolus
(b) Fracture of neck of femur
(c)
other Waldenstroms Anemia
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