Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lottie Belle Nickerson death at Yarmouth, Yarmouth County on May 12, 1971
Female Death Registration: Year: 1971 number: 3465
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003465
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Nickerson, Lottie Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Woods Harbour
9. DATE OF BIRTH 7 29, 1892
10. AGE in Years78 Months9 Days14 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked May/71 14. Total years
15. If married name of spouse deceased
16. NAME of Father George Hopkins
17. BIRTHPLACE Mass.
18. NAME of Mother Alice
19. BIRTHPLACE Woods Harbour
20. Signature of Informant Cecil Nickerson
address So. Ohio., Yar. Co.
Relationship to deceased Son
21. Place of burial Cheggogin Cemetery
Date of burial May 14, 1971
22. Undertaker H.M. Huskinson's Funeral Home, Albert Street, Box 284, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 12, 1971
CAUSE OF DEATH
(a) myocardial infarction
(b)
(c)
other diabetes
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