Female Death Registration: Year: 1971 number: 4168
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004168
1. PLACE OF DEATH County of Hants If in City or Town Noel
3. PRINT NAME OF DECEASED O'Brien, Lena Pearl
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Noel
9. DATE OF BIRTH 4 20, 1892
10. AGE in Years79 Months2 Days7 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Everett O'Brien
17. BIRTHPLACE Noel, NS
18. NAME of Mother Jennie Baxter
19. BIRTHPLACE NB
20. Signature of Informant Freda O'Brien
address Noel, NS
Relationship to deceased Sister
21. Place of burial Noel, NS
Date of burial 30 June '71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b)
(c)
other Chronic Arteriosclerotic Heart Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496243
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