Female Death Registration: Year: 1971 number: 3956
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003956
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home Inc.
3. PRINT NAME OF DECEASED Hagen, Lillian
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 10 24, 1883
10. AGE in Years87 Months7 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housewife
13. Date last worked 1955 14. Total years
15. If married name of spouse Otis Hagen (dec'd)
16. NAME of Father Joseph J. Winters
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Elizabeth O'Grady
19. BIRTHPLACE Caledonia, NS
20. Signature of Informant Mrs. Ivan Knock
address RR #1, Mahone Bay, NS
Relationship to deceased Daughter
21. Place of burial Liverpool, NS
Date of burial June 12, 1971
22. Undertaker Chandlers' Funeral Service Ltd., Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1971
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Myocardial Insufficiency
(c) Generalized Arteriosclerosis
other Chronic Pyelonephritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496032
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