Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

May Luella Lively death at Halifax, Halifax County on October 2, 1971

Female Death Registration: Year: 1971 number: 5850

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005850

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Lively, May Luella

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE East Uniacke, Hants County

9. DATE OF BIRTH 1  25, 1944

10. AGE in  Years27  Months8  Days7 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Kenneth Robert Lively

16. NAME of Father William Moore

17. BIRTHPLACE East Uniacke, Hants Co., NS

18. NAME of Mother Carona Schunaman

19. BIRTHPLACE Beaver Bank, Halifax Co., NS

20. Signature of Informant Mrs. William Moore

      address East Uniacke, Hants Co., NS

      Relationship to deceased Mother

21. Place of burial Church of Good Shephard Cemetery, Beaver Bank, Halifax Co., NS

      Date of burial 5 October 1971

22. Undertaker Lindsay's, Bedford, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 2, 1971

CAUSE OF DEATH

(a) Multiple Head Injuries due to 2 truck collision

(b)

(c)

other

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