Female Death Registration: Year: 1971 number: 5417
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005417
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
3. PRINT NAME OF DECEASED Lloyd, Donna Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 13, 1960
10. AGE in Years10 Months11 Days16 | hrs or mins
11. Trade or profession Nil
12. Kind of industry Nil
13. Date last worked Nil 14. Total years Nil
15. If married name of spouse Nil
16. NAME of Father Mr. Coleman Lloyd
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Pearl Himmelman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Coleman Lloyd
address Locksport, N.S
Relationship to deceased Father
21. Place of burial Asborne Harbour, Shelb. Co., N.S
Date of burial September 1, 1971
22. Undertaker Huskilsons Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 29, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident while swimming
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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