Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Vera May Lassen death at Dartmouth, Halifax County on February 7, 1971
Female Death Registration: Year: 1971 number: 1626
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001626
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution 71 Tulip St.
3. PRINT NAME OF DECEASED Lassen, Vera May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Swedish
7. Single, Married
single
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 8 26, 1895
10. AGE in Years75 Months5 Days11 | 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 Sammuel Lassen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Gillard
19. BIRTHPLACE Newfoundland
20. Signature of Informant Walter R. Lassen
address 71 Tulip St., Dartmouth
Relationship to deceased Nephew
21. Place of burial Christ Church Cemetery, Dart.
Date of burial February 9, 1971
22. Undertaker Mattatall Funeral Ser. Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 7, 1971
CAUSE OF DEATH
(a) C.V.A.
(b)
(c)
other Previous C.V.A. (2 wks ago)
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