Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Shalom Halzel death at Halifax, Halifax County on July 6, 1971
Male Death Registration: Year: 1971 number: 4118
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004118
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Halzel, Shalom
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Hebrew
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 23, 1971
10. AGE in Years Months Days13 | hrs or mins
11. Trade or profession Baby
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Michael Halzel
17. BIRTHPLACE Boston, MA, USA
18. NAME of Mother Cecilia Henish
19. BIRTHPLACE Romania
20. Signature of Informant M. Kempton
address Grace Maternity Hospital
Relationship to deceased
21. Place of burial Shaar Shalom Cemetery, Halifax, NS
Date of burial July 7, 1971
22. Undertaker Cruikshank's Funeral Home, Hfx.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 6, 1971
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) Pneumonia
(c) Anemia
other
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