Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Arlene Jost death at Yarmouth, Yarmouth County on May 5, 1970
Female Death Registration: Year: 1970 number: 3551
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003551
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Jost, Hazel Arlene
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Sambro
9. DATE OF BIRTH 8 17, 1894
10. AGE in Years75 Months8 Days18 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Stewart Gray
17. BIRTHPLACE Sambro
18. NAME of Mother Estella Reloy Hamm
19. BIRTHPLACE Sambro
20. Signature of Informant Roland M Jost
address 21 Conway Cres, St John's, Newfoundland
Relationship to deceased Son
21. Place of burial Yarmouth
Date of burial May 8, 1970
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 5, 1970
CAUSE OF DEATH
(a) Peritonites
(b)
(c)
other Diverticulitis of Colon
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