Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Hazen Ross death at Halifax, Halifax County on May 29, 1970
Male Death Registration: Year: 1970 number: 3662
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003662
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Ross, James Hazen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Hampstead, New Brunswick
9. DATE OF BIRTH 5 5, 1909
10. AGE in Years61 Months0 Days24 | hrs or mins
11. Trade or profession Salesman
12. Kind of industry Robin Hood Flour
13. Date last worked 1 week 14. Total years
15. If married name of spouse Greta VanWart
16. NAME of Father Elias Henry Ross
17. BIRTHPLACE Hampstead, New Brunswick
18. NAME of Mother Ida Jane Cooper
19. BIRTHPLACE Gagetown, New Brunswick
20. Signature of Informant Mrs. Greta Ross
address 77 Howe St., Sydney
Relationship to deceased Widow
21. Place of burial Forest Haven Memorial, Sydney, Glace Bay Highway
Date of burial June 1, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1970
CAUSE OF DEATH
(a) Pulmonary embolism
(b) Artery graft
(c) Impending gangrene foot
other
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