Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lily Belle Nickerson death at Shelburne, Shelburne County on April 28, 1970
Female Death Registration: Year: 1970 number: 3045
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003045
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
If death occured in a hospital or institution Strouds Rest Home
3. PRINT NAME OF DECEASED Nickerson, Lily Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 1, 1874
10. AGE in Years96 Months3 Days27 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked 1965 14. Total years
15. If married name of spouse Edward G. Nickerson
16. NAME of Father Samuel Mood
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Delilah Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Marion B. Sutherland
address Clyde River
Relationship to deceased Niece
21. Place of burial Lower Woods Harbour
Date of burial May 1st 1970
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 28, 1970
CAUSE OF DEATH
(a) A.S.H.D.
(b)
(c)
other
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