Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lillian Verge Van Zoost death at Halifax, Halifax County on September 17, 1971

Female Death Registration: Year: 1971 number: 5555

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005555

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hosp.

3. PRINT NAME OF DECEASED Van Zoost, Lillian Verge

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

divorced

8. BIRTHPLACE Digby

9. DATE OF BIRTH 12  22, 1915

10. AGE in  Years55  Months8  Days26 | hrs or mins

11. Trade or profession Housekeeper

12. Kind of industry Private Residence

13. Date last worked 1971       14. Total years 10

15. If married name of spouse William D.

16. NAME of Father Lovett Y Winchester

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Mary Dowley

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Jonathan Van Zoost

      address P.O. Box 92, Hillsborough, N.B.

      Relationship to deceased Son

21. Place of burial Hillcrest Mem. Gardens, Lr. Sack.

      Date of burial Sept 18, 1971

22. Undertaker R.D. Lindsay, Halifax

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 17, 1971

CAUSE OF DEATH

(a) Cerebrovascular Accident

(b) left middle cerebral artery occlusion

(c)

other

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