Male Death Registration: Year: 1970 number: 3008
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003008
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Crossman, Josiah Venton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Parrsboro Shore
9. DATE OF BIRTH 5 5, 1895
10. AGE in Years74 Months11 Days15 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 4 years ago 14. Total years life
15. If married name of spouse Kathleen S. Crossman
16. NAME of Father Josiah Crossman
17. BIRTHPLACE Fraserville
18. NAME of Mother Rosmond Rector
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Royal
address 112 Willis St. Nashwasksis, New Brunswick
Relationship to deceased Son-in-law
21. Place of burial Amherst Cemetery, Amherst
Date of burial April 23, 1970
22. Undertaker Furlongs Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 20, 1970
CAUSE OF DEATH
(a) Cerebral Vascular accident and left sided paralysis
(b)
(c)
other age arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488318
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