Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel Glendene Hagen death at Liverpool, Queens County on August 20, 1971
Female Death Registration: Year: 1971 number: 5180
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005180
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution 15 Crowell Street
3. PRINT NAME OF DECEASED Hagen, Ethel Glendene
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Annapolis
9. DATE OF BIRTH 9 30, 1909
10. AGE in Years61 Months10 Days21 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Telephone Supervisor
13. Date last worked 1968 14. Total years
15. If married name of spouse William Hagen
16. NAME of Father Arthur Frizzell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Helen Frizzell (maiden not known)
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William Hagen
address 15 Crowell St., Liverpool
Relationship to deceased Husband
21. Place of burial Liverpool, Queens Co.
Date of burial August 23, 1971
22. Undertaker Chandlers' Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 20, 1971
CAUSE OF DEATH
(a) Ventricular fibrillation
(b) Myocardial anoxia & pulmonary oedema
(c) Congestive heart failure
other Arteriosclerosis
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