Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Frances Lacey death at Halifax, Halifax County on December 4, 1970
Female Death Registration: Year: 1970 number: 7043
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007043
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 Lacey, Annie Frances
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 4, 1895
10. AGE in Years75 Months2 Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry House Duties
13. Date last worked 1950 14. Total years 30 Years
15. If married name of spouse Late Alfred John Lacey
16. NAME of Father Harold Bassett
17. BIRTHPLACE England
18. NAME of Mother Hannah Shea
19. BIRTHPLACE Halifax
20. Signature of Informant Douglas John Lacey
address 6118 North St, Halifax
Relationship to deceased Son
21. Place of burial Mt. Olivet, Halifax
Date of burial December 7, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 4, 1970
CAUSE OF DEATH
(a) Massive Myocardial Infarction
(b) Cardiogenic Shock
(c)
other Diabetes
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