Female Death Registration: Year: 1970 number: 2699
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002699
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 Davis, Hazel Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Stewiacke
9. DATE OF BIRTH 4 2, 1914
10. AGE in Years56 Months0 Days6 | 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 Raymond Davis
16. NAME of Father William McCarthy
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Loretta Cool
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Raymond Davis
address 52 Maple St., Bedford
Relationship to deceased Husband
21. Place of burial Pine Grove Cemetery, Stewiacke
Date of burial April 11 1970
22. Undertaker Lindsay's Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 8, 1970
CAUSE OF DEATH
(a) Brain Stem infarction
(b)
(c)
other malabsorption, CA of Cx[cervix], postgastrectomy
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488011
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