Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Mary Berry death at Bridgetown, Annapolis County on April 17, 1970
Female Death Registration: Year: 1970 number: 2854
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002854
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge.
3. PRINT NAME OF DECEASED Berry, Hazel Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Annapolis Royal
9. DATE OF BIRTH 5 6, 1905
10. AGE in Years64 Months11 Days9 | hrs or mins
11. Trade or profession Housewife.
12. Kind of industry
13. Date last worked 1967 14. Total years 41
15. If married name of spouse Lloyd Henry Berry.
16. NAME of Father William
17. BIRTHPLACE England
18. NAME of Mother Elizabeth White
19. BIRTHPLACE Nova Scotia
20. Signature of Informant
address Lequille, Anna Co.
Relationship to deceased Daughter
21. Place of burial St. Louis Cemetery Annapolis Royal.
Date of burial April 19, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 17, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Cerebral Edema
(c)
other Arteriosclerosis
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