Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Agnes Jean Boak O'Brien death at Dartmouth, Halifax County on October 25, 1971
Female Death Registration: Year: 1971 number: 6258
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006258
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Nova Scotia Hospital
3. PRINT NAME OF DECEASED O'Brien, Agnes Jean Boak
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish White
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 1, 1903
10. AGE in Years67 Months10 Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked 1967 14. Total years 43
15. If married name of spouse Dr. H. D. O'Brien
16. NAME of Father Charles D. Murray
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie Brown
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Mary E. Cooley
address 1729 Pryor St., Halifax
Relationship to deceased Friend
21. Place of burial Camp Hill Cemetery
Date of burial 27 October 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 25, 1971
CAUSE OF DEATH
(a) Pulmonary congestion Cardiac digeneration
(b) Chronic Grain Damage
(c) Mitral stenosis
other
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