Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lillian Hagen death at Caledonia, Queens County on June 10, 1971

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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