Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Cynthia Alma Moland death at Mahone Bay, Lunenburg County on January 4, 1971
Female Death Registration: Year: 1971 number: 1040
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001040
1. PLACE OF DEATH County of Lunenburg If in City or Town Mahone Bay
If death occured in a hospital or institution Holman's Rest Home
3. PRINT NAME OF DECEASED Moland, Cynthia Alma
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Chester Grant, Lunenburg County
9. DATE OF BIRTH 5 11, 1891
10. AGE in Years79 Months7 Days24 | hrs or mins
11. Trade or profession Retired.
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ainsley Millett
17. BIRTHPLACE Lunenburg Co.
18. NAME of Mother Eliza Armstrong
19. BIRTHPLACE Lunenburg Co.
20. Signature of Informant Ellis Millett
address Chester RR2
Relationship to deceased Brother
21. Place of burial Chester, Lunenburg Co.
Date of burial January 7, 1971
22. Undertaker Mahone Funeral Service, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1971
CAUSE OF DEATH
(a) Cerebral thrombosis
(b) Generalized athersclerosis
(c)
other Anterior chamber ??
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