Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Grace Hyson Roberts death at Lunenburg, Lunenburg County on January 6, 1971
Female Death Registration: Year: 1971 number: 1266
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001266
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution F.M. Hospital
3. PRINT NAME OF DECEASED Roberts, Grace Hyson
4. Sex
Female
5. Citizenship
American
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Maders Cove, Lunen. County
9. DATE OF BIRTH 12 9, 1888
10. AGE in Years82 Months Days28 | 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 Alfred Hyson
17. BIRTHPLACE Lunenburg Co.
18. NAME of Mother Mary Mader
19. BIRTHPLACE Lunenburg Co.
20. Signature of Informant Ethel L. Simpson
address Mahone Bay
Relationship to deceased Niece
21. Place of burial Park Cemetery, Mahone Bay
Date of burial January 9, 1971
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1971
CAUSE OF DEATH
(a) CVA
(b) Atherosclerosis
(c)
other
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