Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elma Gladys Lantz death at Kentville, Kings County on July 22, 1971
Female Death Registration: Year: 1971 number: 4680
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004680
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Blanchard Fraser Memorial Hospital
3. PRINT NAME OF DECEASED Lantz, Elma Gladys
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Boston, Massachusetts, USA
9. DATE OF BIRTH 6 4, 1895
10. AGE in Years76 Months1 Days18 | 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 Ivan J. Lantz (dec'd)
16. NAME of Father James Cleveland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Frances Harris
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Murray Lantz
address 75 Bedford Road, Greenwood, NS
Relationship to deceased Son
21. Place of burial Willowbank Cemetery, Wolfville
Date of burial July 25, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd., Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerosis
(c)
other Chronic Myocarditis
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