Female Death Registration: Year: 1971 number: 1715
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001715
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Dixon, Lena Smith
4. Sex
Female
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE North Carolina
9. DATE OF BIRTH 12 17, 1883
10. AGE in Years87 Months Days27 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked August 1970 14. Total years 55
15. If married name of spouse Jack Dixon
16. NAME of Father Alonzo Smith
17. BIRTHPLACE United States of America
18. NAME of Mother Nellie Jewell
19. BIRTHPLACE United States of America
20. Signature of Informant Clifford Evans
address Port Hawkesbury
Relationship to deceased Son-in-law
21. Place of burial Port Hawkesbury
Date of burial January 16, 1971
22. Undertaker Thompson and Haverstock Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 13, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arteriosclerosis
(c) Senile Decay
other Spinal Concussion Exfoliate Dermatitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493793
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