Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Augusta Stephens death at Lockeport, Shelburne County on July 22, 1971
Female Death Registration: Year: 1971 number: 4696
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004696
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
If death occured in a hospital or institution Surf Lodge Nursing Home
3. PRINT NAME OF DECEASED Stephens, Augusta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE East Green Harbour
9. DATE OF BIRTH 10 30, 1892
10. AGE in Years78 Months8 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1969 14. Total years 58 years
15. If married name of spouse Mr. Othneil Stephens
16. NAME of Father John Roach
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Wilhelmina Williams
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Stillman Wolfe
address Lockport, NS
Relationship to deceased Sister
21. Place of burial Lockeport Cemetery
Date of burial July 25, 1971
22. Undertaker Huskilsons Funeral Home, Lockport, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Cerebral Arteriosclerosis
(c)
other
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