Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lottie May Davison death at Wolfville, Kings County on June 2, 1971
Female Death Registration: Year: 1971 number: 3798
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003798
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Eastern Kings Memorial Hospital
3. PRINT NAME OF DECEASED Davison, Lottie May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE White Rock, Kings County Nova Scotia
9. DATE OF BIRTH 9 10, 1896
10. AGE in Years74 Months8 Days22 | 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 Axmoth Davison
16. NAME of Father Robie Stivers
17. BIRTHPLACE White Rock, NS
18. NAME of Mother Bishop
19. BIRTHPLACE White Rock, NS
20. Signature of Informant Axmoth Davison
address Gaspereaux Mtn. Kings Co. NS
Relationship to deceased Husband
21. Place of burial Gaspereaux, Kings Co. NS
Date of burial June 5, 1971
22. Undertaker H.C. Lindsay Funeral Homes Ltd, Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1971
CAUSE OF DEATH
(a) Adenocarcinoma Metastases
(b) Adeno of Sigmoid
(c)
other
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