Male Death Registration: Year: 1970 number: 4253
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004253
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camphill Hospital
3. PRINT NAME OF DECEASED Crowell, James Deward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 21, 1910
10. AGE in Years59 Months11 Days8 | hrs or mins
11. Trade or profession Fireman
12. Kind of industry Government Survey Boat
13. Date last worked 1967 14. Total years 22
15. If married name of spouse Floris Crowell
16. NAME of Father James Crowell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rose O'Connell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Beverly I. Browne
address Cape Negro, P.O. Shel. Co.
Relationship to deceased Daughter
21. Place of burial Clark's Harbour
Date of burial July 2nd, 1970
22. Undertaker Kenney Funeral Service, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 29, 1970
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Thrombosis Veins Leg
(c) Atherosclerosis
other Diabetes mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489562
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