Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Vaughan John Lake death at Enfield, Halifax County on December 31, 1971
Male Death Registration: Year: 1971 number: 7650
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007650
1. PLACE OF DEATH County of Halifax If in City or Town Enfield
3. PRINT NAME OF DECEASED Lake, Vaughan John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Bramber
9. DATE OF BIRTH 12 26, 1883
10. AGE in Years88 Months Days5 | hrs or mins
11. Trade or profession Blind
12. Kind of industry
13. Date last worked 14. Total years 58
15. If married name of spouse
16. NAME of Father Charles Lake
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sophia
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Robert Caldwell
address 31 Fairbanks St. Dartmouth
Relationship to deceased Niece
21. Place of burial Bramber
Date of burial January 2, 1972
22. Undertaker J. Wilson Allen, Summerville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 31, 1971
CAUSE OF DEATH
(a) Asphyxiation and extensive burns
(b) Trailer Fire
(c)
other Accident
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