Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Vera Maude Lake death at Windsor, Hants County on April 11, 1970

Female Death Registration: Year: 1970 number: 2779

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002779

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 Lake, Vera Maude

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Riverside

9. DATE OF BIRTH 8  11, 1888

10. AGE in  Years81  Months8  Days0 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry Housekeeping

13. Date last worked 1970       14. Total years 54

15. If married name of spouse

16. NAME of Father Jeffrey Sanford

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Ellen Fish Sanford

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Marved(?) S. Lake

      address Bramber

      Relationship to deceased Son

21. Place of burial Bramber

      Date of burial April 14, 1970

22. Undertaker J. Wilson Allen, Summerville

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH April 11, 1970

CAUSE OF DEATH

(a) Acute coronary occlusion

(b) Arteriosclerosis

(c)

other Diabetes

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