Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Simeon Mossman death at Windsor, Hants County on March 4, 1970
Male Death Registration: Year: 1970 number: 2015
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002015
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Nova Scotia Freemason's Home
3. PRINT NAME OF DECEASED Mossman, John Simeon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Upper Kingsburg
9. DATE OF BIRTH 1 9, 1873
10. AGE in Years97 Months1 Days23 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked 1942 14. Total years 22
15. If married name of spouse Dorinda (Corkum) Mossman
16. NAME of Father Ruben Mossman
17. BIRTHPLACE Lunenburg
18. NAME of Mother Cassandra Veinote
19. BIRTHPLACE Oakland
20. Signature of Informant Mrs. Kathleen Shakul
address Upper Kingsburg, Lunenburg
Relationship to deceased None
21. Place of burial Lakeview Cemetery, Lower Kingsburg
Date of burial March 7, 1970
22. Undertaker Dana L. Sweeny Funeral Home Ltd., Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 4, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Cardiac decompensation
(c) Arteriosclerosis
other Partial paralytic (illegible)
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