Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Mary Shaw death at Truro, Colchester County on October 14, 1971
Female Death Registration: Year: 1971 number: 6113
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006113
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Taylor's Nursing Home
3. PRINT NAME OF DECEASED Shaw, Hazel Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 27, 1907
10. AGE in Years64 Months3 Days17 | 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 Chauncey Shaw
16. NAME of Father Thomas Higgins
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna Irving
19. BIRTHPLACE Nova Scotia
20. Signature of Informant J.W. Higgins
address Eureka
Relationship to deceased Brother
21. Place of burial Hilden
Date of burial October 16, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 14, 1971
CAUSE OF DEATH
(a) CVA
(b) Arteriosclerosis
(c)
other
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