Female Death Registration: Year: 1970 number: 5194
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005194
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Nickerson, Lura Ellen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Clarks Harbour
9. DATE OF BIRTH 7 18, 1891
10. AGE in Years79 Months1 Days10 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housewife
13. Date last worked 1968 14. Total years
15. If married name of spouse Clayton Nickerson
16. NAME of Father Raymond Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant M.B. Nickerson
address 29 Colindale Ave. Halifax
Relationship to deceased Son
21. Place of burial Liverpool
Date of burial August 30, 1970
22. Undertaker Chandlers Funeral Service Ltd. Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 28, 1970
CAUSE OF DEATH
(a) Giant Follicular lymphoma
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490502
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