Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Donna Mae Lloyd death at Lockeport, Shelburne County on August 29, 1971

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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