Female Death Registration: Year: 1971 number: 5121
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005121
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Worrell, Lillian
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 12 29, 1926
10. AGE in Years44 Months7 Days26 | 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 Julian Worrell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Christina Worrell
address 103 Laurier St., Sydney, NS
Relationship to deceased Daughter
21. Place of burial Forest Haven Memorial Gardens, Sydney - Glace Bay Hwy. Sydney, NS
Date of burial Aug 26, 1971
22. Undertaker T. W. Curry Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 24, 1971
CAUSE OF DEATH
(a) Cancer with Metastasis
(b) Heart Disease due to General Systemic Illness
(c)
other Bacterial Infection
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497195
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