Female Death Registration: Year: 1971 number: 2647
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002647
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Lingard, Myrtle Eleanor
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Centre Burlington
9. DATE OF BIRTH 3 16, 1904
10. AGE in Years67 Months Days21 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Roy (deceased)
16. NAME of Father Lawson McCulloch
17. BIRTHPLACE NS
18. NAME of Mother Florence Harvie
19. BIRTHPLACE NS
20. Signature of Informant Mrs Ervin Faulkner
address Burnt Cont, NS
Relationship to deceased Daughter
21. Place of burial Moose Brook, NS
Date of burial 9 Apr '71
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 6, 1971
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494724
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