Female Death Registration: Year: 1970 number: 2516
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002516
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermens Memorial Hospital
3. PRINT NAME OF DECEASED Mason, Lottie Sevilla
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Blue Rocks
9. DATE OF BIRTH 1 5, 1902
10. AGE in Years68 Months2 Days19 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked March 22, 1970 14. Total years
15. If married name of spouse Morton Mason
16. NAME of Father Reginald Hynier
17. BIRTHPLACE Blue Rocks
18. NAME of Mother Marjorie Tanner
19. BIRTHPLACE Blue Rocks
20. Signature of Informant Marjorie AuleNew Brunswickack
address 129 Lawrence St. Lunenburg
Relationship to deceased Daughter
21. Place of burial Blue Rocks Cemetery
Date of burial March 26, 1970
22. Undertaker Dana L. Sweeny Funeral Home Ltd. Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 24, 1970
CAUSE OF DEATH
(a) Cerbrovascular accident
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487828
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