Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Madeline Keizer death at Halifax, Halifax County on September 16, 1970
Female Death Registration: Year: 1970 number: 5569
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005569
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Keizer, Hazel Madeline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 2 8, 1910
10. AGE in Years60 Months7 Days8 | 0 hrs or 0 mins
11. Trade or profession Housewife
12. Kind of industry At Home
13. Date last worked 1962 14. Total years 40
15. If married name of spouse Percy B Keizer
16. NAME of Father William Ferguson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Naufts
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Percy B Keizer, Jr
address RR #1, Sackville
Relationship to deceased Son
21. Place of burial Hillcrest Memorial Gardens, Lower Sackville
Date of burial September 19 1970
22. Undertaker Halifax Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 16, 1970
CAUSE OF DEATH
(a) Coronary Occlusion
(b)
(c)
other
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