Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Frances Mroz death at Halifax, Halifax County on August 19, 1971
Female Death Registration: Year: 1971 number: 4997
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004997
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Mroz, Mary Frances
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 12 26, 1918
10. AGE in Years52 Months7 Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1971 14. Total years
15. If married name of spouse Frank Mroz
16. NAME of Father Mathue Burton
17. BIRTHPLACE Newfoundland
18. NAME of Mother Cathern Connors
19. BIRTHPLACE Newfoundland
20. Signature of Informant John Mroz
address 46 St. Lawrence Street, Sydney, NS
Relationship to deceased Son
21. Place of burial Sydney, NS
Date of burial Aug 21, 1971
22. Undertaker Curry Funeral Home, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 19, 1971
CAUSE OF DEATH
(a) Monocytic Leukemia
(b) Bone Marrow Aplasia
(c)
other Rheumatoid Arthritis
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