Male Death Registration: Year: 1971 number: 7732
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007732
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Hawboldt, Laurie Stewart
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 6 5, 1911
10. AGE in Years60 Months1 Days11 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labour
13. Date last worked 1961 14. Total years 30
15. If married name of spouse Sophia Cochrane
16. NAME of Father Simeon Hawboldt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Wilson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Sophia Cochrane
address Brooklyn
Relationship to deceased Wife
21. Place of burial Maplewood Cemetery, Windsor
Date of burial July 19, 1971
22. Undertaker R.D. Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 16, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499804
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