Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lilla Dora Bell Kaulback death at Lunenburg, Lunenburg County on January 14, 1970
Female Death Registration: Year: 1970 number: 1893
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001893
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
3. PRINT NAME OF DECEASED Kaulback, Lilla Dora Bell
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Lunenburg
9. DATE OF BIRTH 4 16, 1876
10. AGE in Years93 Months8 Days29 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House worker
13. Date last worked Dec 1969 14. Total years always
15. If married name of spouse
16. NAME of Father Philip Ernst
17. BIRTHPLACE Lunenburg
18. NAME of Mother Abigail Silver
19. BIRTHPLACE Lunenburg
20. Signature of Informant Arthur A Hiltz
address Mahone Bay RR 2
Relationship to deceased nil
21. Place of burial Mahone Bay
Date of burial Jan 17, 1970
22. Undertaker Mahone Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1970
CAUSE OF DEATH
(a) CVA
(b)
(c)
other
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