Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice Pearl H Allen death at Lockeport, Shelburne County on October 21, 1970
Female Death Registration: Year: 1970 number: 6366
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006366
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
If death occured in a hospital or institution Surf Lodge Nursing Home
3. PRINT NAME OF DECEASED Allen, Alice Pearl H
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 4 29, 1885
10. AGE in Years85 Months5 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1960 14. Total years 56 years
15. If married name of spouse Imbert Allen
16. NAME of Father Richard P. Lantz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Seraph Reid
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Hattie Perry
address Barrington, Shel. Co.
Relationship to deceased Daughter
21. Place of burial Barrington
Date of burial October 24, 1970
22. Undertaker Kenney Funeral Service Barrington Shel. Col.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 21, 1970
CAUSE OF DEATH
(a) neuroma
(b) Chronic Mellitus 1 year
(c)
other Arteriosclerotic disease heart - 10 years Non Junctioning Gall Bladder - 1 year
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