Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lorri Naomi Dawn Betts death at Halifax, Halifax County on September 25, 1971

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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