Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Beryl Lacey death at Dartmouth, Halifax County on February 15, 1971
Female Death Registration: Year: 1971 number: 1765
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001765
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution 21 Maple St.
3. PRINT NAME OF DECEASED Lacey, Beryl
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 4, 1906
10. AGE in Years64 Months10 Days11 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House Duties
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. William Lacey
address 40 Hawthorn St., Dart.
Relationship to deceased Son
21. Place of burial Mt. Harmon Cemetery, Dartmouth
Date of burial February 18, 1971
22. Undertaker Mattatall Funeral Ser. Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 15, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b)
(c)
other
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