Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dorothy Alveita Lake death at Windsor, Hants County on May 29, 1971
Female Death Registration: Year: 1971 number: 4669
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004669
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 Lake, Dorothy Alveita
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Bramber
9. DATE OF BIRTH 3 2, 1901
10. AGE in Years70 Months2 Days27 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1966 14. Total years 45
15. If married name of spouse Sherman Lake
16. NAME of Father George Crossley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bessie Brown
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Glenda Hazel
address Summerville, Hants Co., NS
Relationship to deceased Daughter
21. Place of burial Bramber Cemetery, Bramber, Hants Co., NS
Date of burial June 2, 1971
22. Undertaker R. D. Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b) Diabetes
(c)
other
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