Male Death Registration: Year: 1970 number: 2098
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002098
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Forks
If death occured in a hospital or institution Meadow's Rd., Sydney Forks
3. PRINT NAME OF DECEASED Mosher, Ervin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Rawdon Hills
9. DATE OF BIRTH 1 20, 1907
10. AGE in Years63 Months0 Days15 | hrs or mins
11. Trade or profession Machine operator
12. Kind of industry Asphalt plant
13. Date last worked January 20, 1970 14. Total years 15
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Elizabeth Mosher
19. BIRTHPLACE Rawdon Hills
20. Signature of Informant Mrs. V. Walker
address 207 Leaside Drive, Sydney
Relationship to deceased Cousin
21. Place of burial St. Croix
Date of burial February 7, 1970
22. Undertaker Lindsey Funeral Home, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 4, 1970
CAUSE OF DEATH
(a) Acute Cardiac Failure
(b) Coronary Infarction
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487411
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