Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Owen Edward Crouse death at Bridgewater, Lunenburg County on July 18, 1970
Male Death Registration: Year: 1970 number: 4582
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004582
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Crouse, Owen Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Chelsea
9. DATE OF BIRTH 1 12, 1891
10. AGE in Years79 Months1 Days6 | hrs or mins
11. Trade or profession Labourer & Mill Worker
12. Kind of industry
13. Date last worked 1959 14. Total years 50 years
15. If married name of spouse Mabel Crouse (nee: Owen)
16. NAME of Father Elkanah Crouse
17. BIRTHPLACE Chelsea
18. NAME of Mother Annie Frank
19. BIRTHPLACE New Cornwall
20. Signature of Informant Lucy F. Beck
address RR #1, Bridgewater
Relationship to deceased Daughter
21. Place of burial Chelsea
Date of burial 20 July 1970
22. Undertaker Stan Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 18, 1970
CAUSE OF DEATH
(a) Carcinoma of Jaw
(b) Radiation Necrosis & Scarring
(c)
other Loss of ability to swallow & depression, patient malnourished
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