Female Death Registration: Year: 1971 number: 3669
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003669
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester County Hospital
3. PRINT NAME OF DECEASED Paris, Lottie Berthers
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 4 23, 1903
10. AGE in Years69 Months11 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Osker Clyke
17. BIRTHPLACE Truro
18. NAME of Mother Mary Williams
19. BIRTHPLACE Guysboro, NS
20. Signature of Informant Mrs. Bernard Paris
address 8 Brodie Ave, Truro, NS
Relationship to deceased Sister
21. Place of burial Robie St. Cemetery, Truro, NS
Date of burial April 20, 1971
22. Undertaker Kennedy Memorial Residence, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 16, 1971
CAUSE OF DEATH
(a) Intestinal Obstruction
(b) Carcinoma of the rectum
(c)
other Atheroma of Cerebral Arteries Hypertension
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495745
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