Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazen Roy Milner death at Amherst, Cumberland County on January 6, 1971
Male Death Registration: Year: 1971 number: 1114
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001114
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Milner, Hazen Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE West Sackville, New Brunswick
9. DATE OF BIRTH 2 26, 1885
10. AGE in Years85 Months10 Days11 | hrs or mins
11. Trade or profession Moulding
12. Kind of industry Foundry
13. Date last worked 1954 14. Total years 40 years
15. If married name of spouse Jennie May Palmer
16. NAME of Father Winslow Milner
17. BIRTHPLACE West Sackville, New Brunswick
18. NAME of Mother Sarah Russ
19. BIRTHPLACE England
20. Signature of Informant Mrs. Jennie Milner
address 9 Harding Avenue, Amherst, Cumberland Co., NS
Relationship to deceased Wife
21. Place of burial Amherst, Cumberland Co., NS
Date of burial 8 January 1971
22. Undertaker Campbell's Funeral Home, Amherst, Cumberland Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1971
CAUSE OF DEATH
(a) Acute Lft Ventricular Failure
(b)
(c) Myocardial Insufficiency
other
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