Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lillian Ethel Clayton death at Annapolis Royal, Annapolis County on February 21, 1971
Female Death Registration: Year: 1971 number: 1851
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001851
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital
3. PRINT NAME OF DECEASED Clayton, Lillian Ethel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Lequille, Anna Co
9. DATE OF BIRTH 1 31, 1889
10. AGE in Years82 Months Days21 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 1 year 14. Total years 64
15. If married name of spouse
16. NAME of Father George Starling
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Guest
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ross Clayton
address Young's Cove NS
Relationship to deceased son
21. Place of burial Sarty Cemetery, Parkers Cove, NS
Date of burial February 24, 1971
22. Undertaker Chisholms Funeral Home, Granville Ferry, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 21, 1971
CAUSE OF DEATH
(a) Acute Cardiac decompensation x 1 day
(b) Congestive cardiac Failure x 10 yrs
(c)
other Chronic Pulmonary Fibrosis 25yrs ? Carcinoma of bowel ?1 mos
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