Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Laurie Lorraine Nickerson death at Yarmouth, Yarmouth County on November 14, 1971
Female Death Registration: Year: 1971 number: 6669
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006669
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yar. Regional Hospital
3. PRINT NAME OF DECEASED Nickerson, Laurie Lorraine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 17, 1970
10. AGE in Years1 Months3 Days28 | 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 Alton Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maureen Ross
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Maureen Nickerson
address Stoney Island, Shel. Co.
Relationship to deceased Mother
21. Place of burial Stoney Island
Date of burial November 16, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 14, 1971
CAUSE OF DEATH
(a) congenital deformity of heart
(b)
(c)
other
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