Female Death Registration: Year: 1971 number: 4167
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004167
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Lyttle, Sara Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Ellershouse
9. DATE OF BIRTH 9 9, 1886
10. AGE in Years84 Months9 Days18 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1971 14. Total years 64
15. If married name of spouse
16. NAME of Father John Densmore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Hughes
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Doris MacBurnie
address Ellershouse, Hants Co., NS
Relationship to deceased Daughter
21. Place of burial Oakhill, Ellershouse, NS
Date of burial June 30,1971
22. Undertaker R. D. Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 27, 1971
CAUSE OF DEATH
(a) Carcinoma of Bowel with Liver Metastasis
(b)
(c)
other Ulcerative Colitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496242
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