Female Death Registration: Year: 1971 number: 4994
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004994
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED O'Brien, Hazel Beatrice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Prince's Lodge, Halifax
9. DATE OF BIRTH 7 2, 1891
10. AGE in Years80 Months1 Days14 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House Duties
13. Date last worked 1969 14. Total years 60 yrs
15. If married name of spouse late Edward M. O'Brien
16. NAME of Father William A. Gray
17. BIRTHPLACE Prince's Lodge
18. NAME of Mother Christine Power
19. BIRTHPLACE Halifax, Nova Scotia
20. Signature of Informant Mrs. Shirley Doyle
address Five Island Lake, Halifax County
Relationship to deceased Daughter
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial August 18, 1971
22. Undertaker Cruikshanks Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Recurrent CVA's
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497069
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