Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emily Louise Fralic death at West LaHave, Lunenburg County on April 1, 1971
Female Death Registration: Year: 1971 number: 2567
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002567
1. PLACE OF DEATH County of Lunenburg If in City or Town West LaHave
3. PRINT NAME OF DECEASED Fralic, Emily Louise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 29, 1894
10. AGE in Years76 Months5 Days3 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Henry Pernette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Oxner
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Paul Fralic
address 12 Conay Crescent, Halifax
Relationship to deceased son
21. Place of burial West LaHave, Lun. Co.
Date of burial April 3, 1971
22. Undertaker Charles Sweeney Bridgewater N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 1, 1971
CAUSE OF DEATH
(a) coronary artery occlusion
(b) Arteriosclerosis
(c)
other
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