Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Elizabeth Lewis death at Kentville, Kings County on April 24, 1971
Female Death Registration: Year: 1971 number: 3328
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003328
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Blanchard Fraser Memorial Hospital, Kentville
3. PRINT NAME OF DECEASED Lewis, Mary Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 11 8, 1894
10. AGE in Years76 Months5 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked April 1/71 14. Total years Life
15. If married name of spouse James Lewis
16. NAME of Father Laverick
17. BIRTHPLACE England
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Frank S. Legge
address 492 Main Street, Kentville, Kings Co., NS
Relationship to deceased Son
21. Place of burial Middleton, NS
Date of burial April 28, 1971
22. Undertaker Warren T. Roop Ltd., Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 24, 1971
CAUSE OF DEATH
(a) Cardiac arrythmias
(b) Myocardial Infarction
(c)
other
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