Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daisy Florence Fraser death at Lantz, Hants County on October 18, 1971
Female Death Registration: Year: 1971 number: 6130
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006130
1. PLACE OF DEATH County of Hants If in City or Town Lantz
3. PRINT NAME OF DECEASED Fraser, Daisy Florence
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Elmsdale
9. DATE OF BIRTH 8 1, 1885
10. AGE in Years86 Months2 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Edwin Fraser
16. NAME of Father Clarence Keyes
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Agnes Woodworth
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Kenneth Dillman
address Lantz
Relationship to deceased Daughter
21. Place of burial Elmsdale
Date of burial October 20, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 18, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Arteriosclerotic heart disease
(c)
other
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