Female Death Registration: Year: 1971 number: 5698
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005698
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaac Walton Killam Hospital for Children
3. PRINT NAME OF DECEASED Betts, Lorri Naomi Dawn
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
scotch
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 23, 1971
10. AGE in Years Months Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Glenn E. Fields
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gail Ardyth Betts
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gail A. Betts
address 66 Harmony Road, Truro
Relationship to deceased mother
21. Place of burial Great Village
Date of burial September 27, 1971
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 25, 1971
CAUSE OF DEATH
(a) Respiratory distress syndrome
(b) prematurity
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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