Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Moss death at Eastern Passage, Halifax County on March 20, 1970
Male Death Registration: Year: 1970 number: 2370
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002370
1. PLACE OF DEATH County of Halifax If in City or Town Eastern Passage
If death occured in a hospital or institution Ocean View Manor
3. PRINT NAME OF DECEASED Moss, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE England
9. DATE OF BIRTH 11 9, 1874
10. AGE in Years95 Months4 Days11 | hrs or mins
11. Trade or profession Invalid
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant J N ??
address Ocean View Manor
Relationship to deceased
21. Place of burial Mt Hermon Dartmouth
Date of burial March 21 1970
22. Undertaker Mattatall Funeral Home Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 20, 1970
CAUSE OF DEATH
(a) Myocardial Ischaemia
(b) Arterial Sclerosis
(c)
other
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