Female Death Registration: Year: 1971 number: 5157
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005157
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Lodge, Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Stellarton
9. DATE OF BIRTH 1 17, 1881
10. AGE in Years90 Months5 Days22 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Ellerton Lodge
16. NAME of Father Cornelius Connolly
17. BIRTHPLACE NS
18. NAME of Mother Mary Desmond
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Arthur Travis
address Rothesay, NB
Relationship to deceased Niece
21. Place of burial Lourdes Cemetery, Stellarton
Date of burial July 12. 1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 9, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497231
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