Female Death Registration: Year: 1970 number: 1166
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001166
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution D.M. Hospital
3. PRINT NAME OF DECEASED Hiltz, Lara Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 17, 1890
10. AGE in Years79 Months11 Days17 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Melbourne Hiltz
16. NAME of Father Albert Bollieau
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Conrad
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. M. Hiltz
address Aberdeen Rd. B'water
Relationship to deceased Husband
21. Place of burial Dayspring, Lun co
Date of burial Jan 6, 1970
22. Undertaker Charles Sweeny, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1970
CAUSE OF DEATH
(a) Cerebro-vascular accident
(b) coronary artery insufficiency
(c)
other Diabetes mellitus 10 years
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486480
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