Female Death Registration: Year: 1970 number: 5107
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005107
1. PLACE OF DEATH County of Guysborough If in City or Town Tor Bay
3. PRINT NAME OF DECEASED Gammon, Lillie Dale
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Drum Head
9. DATE OF BIRTH 12 23, 1874
10. AGE in Years95 Months7 Days23 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1963 14. Total years
15. If married name of spouse
16. NAME of Father Charles Burke
17. BIRTHPLACE Guysborough
18. NAME of Mother Sophie Fanning
19. BIRTHPLACE Guysborough
20. Signature of Informant Mrs. Ivan Gammon
address Torbay
Relationship to deceased Daughter-in-law
21. Place of burial Torbay
Date of burial August 18, 1970
22. Undertaker Nathan Rhynold
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1970
CAUSE OF DEATH
(a) Cerebral arterisolisis
(b) old age
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490415
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