Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Bessie Smith death at Lunenburg, Lunenburg County on February 10, 1971
Female Death Registration: Year: 1971 number: 1652
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001652
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen Memorial Hospital
3. PRINT NAME OF DECEASED Smith, Hazel Bessie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE First Peninsula
9. DATE OF BIRTH 11 28, 1891
10. AGE in Years79 Months2 Days12 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked 14. Total years
15. If married name of spouse Moyle Smith (deceased)
16. NAME of Father James Mahlon Rhodenizer
17. BIRTHPLACE Lunenburg
18. NAME of Mother Anna Bertha Smith
19. BIRTHPLACE Lunenburg Co.
20. Signature of Informant Mrs. Mona Rhodenizer
address Lunenburg
Relationship to deceased Sister-in-Law
21. Place of burial Lunenburg
Date of burial February 13, 1971
22. Undertaker Dana L. Sweeny Funeral Home Ltd., Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 10, 1971
CAUSE OF DEATH
(a) Myocardial Insufficiency
(b) Endometriosis
(c) Diverticulosis
other
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