Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Irene Gosby death at Halifax, Halifax County on October 18, 1971
Female Death Registration: Year: 1971 number: 6092
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006092
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 Gosby, Hazel Irene
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 7, 1952
10. AGE in Years18 Months6 Days11 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Glenn
16. NAME of Father William Austin Cox
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Reta Jeffers
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William A. Cox
address R.R.1., Upper Stewiacke
Relationship to deceased Father
21. Place of burial South Branch
Date of burial 20 October 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 18, 1971
CAUSE OF DEATH
(a) Acute Meningitis
(b) Multiple head injuries
(c) Gun shot wounds
other
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