Female Death Registration: Year: 1970 number: 3499
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003499
1. PLACE OF DEATH County of Halifax If in City or Town Beaverbank
If death occured in a hospital or institution Beaverbank Rd., Beaverbank
3. PRINT NAME OF DECEASED Lively, Alena Beatrice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Beaverbank
9. DATE OF BIRTH 8 9, 1880
10. AGE in Years89 Months9 Days13 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse George Edward
16. NAME of Father Charles Shunamon
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anne Gilbey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Mae Joudrey
address Beaverbank
Relationship to deceased Daughter
21. Place of burial Beaverbank Ang. Cem.
Date of burial May 25, 1970
22. Undertaker Lindsays, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 22, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Congestive Heart Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488809
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