Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mina Elizabeth Lantz death at Wallbrook, Kings County on September 29, 1971
Female Death Registration: Year: 1971 number: 6028
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006028
1. PLACE OF DEATH County of Kings If in City or Town Wallbrook
If death occured in a hospital or institution Private boarding house
3. PRINT NAME OF DECEASED Lantz, Mina Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Bakers Settlement
9. DATE OF BIRTH 3 21, 1887
10. AGE in Years84 Months6 Days8 | hrs or mins
11. Trade or profession
12. Kind of industry Housewife
13. Date last worked 14. Total years
15. If married name of spouse Harris Albert Lantz
16. NAME of Father James Beck
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sophie Bolivar
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Edwin Smith
address Grand Pre
Relationship to deceased daughter
21. Place of burial Camphill Cemetery, Halifax
Date of burial October 2, 1971
22. Undertaker Lindsay, Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1971
CAUSE OF DEATH
(a) C.V.A.
(b)
(c)
other
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