Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lucy Samson death at Sydney, Cape Breton County on December 27, 1971
Female Death Registration: Year: 1971 number: 7523
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007523
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita's Hospital
3. PRINT NAME OF DECEASED Samson, Lucy
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Little Anse, Richmond County
9. DATE OF BIRTH 7 7, 1915
10. AGE in Years56 Months5 Days6 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1 year 14. Total years
15. If married name of spouse Joseph H. Samson
16. NAME of Father James Boudreau
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jane Boudreau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joseph H. Samson
address Little Anse, Richmond Co.
Relationship to deceased Husband
21. Place of burial St. Joseph Cemetery, Petit de Grat
Date of burial Dec. 29, 1971
22. Undertaker Chez Gordon Funeral Home Ltd., Arichat
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of Breast
(c)
other
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