Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Lillian Cossaboom death at Little River, Digby County on May 8, 1970
Female Death Registration: Year: 1970 number: 3372
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003372
1. PLACE OF DEATH County of Digby If in City or Town Little River
If death occured in a hospital or institution at family home
3. PRINT NAME OF DECEASED Cossaboom, Mary Lillian
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Rossway
9. DATE OF BIRTH 6 24, 1881
10. AGE in Years88 Months10 Days14 | hrs or mins
11. Trade or profession Retired Registered Nurse
12. Kind of industry School teacher
13. Date last worked 1955 14. Total years
15. If married name of spouse
16. NAME of Father Charles Cossaboom
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Derby
19. BIRTHPLACE USA
20. Signature of Informant Ralph Cossaboom
address Gillivers Cove
Relationship to deceased Brother
21. Place of burial Rossway
Date of burial May 11, 1970
22. Undertaker Jayne's Funeral Home Ltd, Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 8, 1970
CAUSE OF DEATH
(a) cardiovascular disease
(b) arteriosclerosis
(c)
other
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