Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Flora Belle Lewis death at Sandy Point, Shelburne County on July 16, 1971
Female Death Registration: Year: 1971 number: 4695
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004695
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Lewis, Flora Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Little Harbour, Shelburne County
9. DATE OF BIRTH 10 26, 1879
10. AGE in Years91 Months8 Days20 | hrs or mins
11. Trade or profession House Wife
12. Kind of industry at home
13. Date last worked 1951 14. Total years 30 yrs
15. If married name of spouse Wentworth Lewis
16. NAME of Father William Henry Payer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Lavinia Vogler
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John Decker
address Little Harbour, NS
Relationship to deceased Daughter
21. Place of burial Little Harbour Cemetary
Date of burial July 18, 1971
22. Undertaker Huskilson's Funeral Home, Lockport, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 16, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) coronary atherosclerosis
(c)
other
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