Female Death Registration: Year: 1971 number: 3719
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003719
1. PLACE OF DEATH County of Yarmouth If in City or Town Dayton
If death occured in a hospital or institution Villa St. Joseph
3. PRINT NAME OF DECEASED Williamson, Laura Stewart Hartz
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Horton Landing, Kings County
9. DATE OF BIRTH 5 18, 1874
10. AGE in Years97 Months Days10 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Hartz
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Julie Killam
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Margaret D. Hebb
address 21 Curzon St., Montreal
Relationship to deceased Daughter
21. Place of burial Yarmouth, NS
Date of burial May 31, 1971
22. Undertaker Sweeny Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 28, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495795
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