Male Death Registration: Year: 1970 number: 5322
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005322
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 Crowell, Carl Courtney
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 9, 1916
10. AGE in Years53 Months9 Days5 | hrs or mins
11. Trade or profession Baker
12. Kind of industry Bakery
13. Date last worked 1950 14. Total years 12
15. If married name of spouse
16. NAME of Father Andrew Crowell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Beatrice Mannette
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Beatrice Crowell
address Porters Lake
Relationship to deceased Mother
21. Place of burial Porters Lake
Date of burial August 16, 1970
22. Undertaker Rowlings Fueral Service, Musquodoboit Habour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1970
CAUSE OF DEATH
(a) Rheumatic heart disease
(b) Pulmonary edema
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490630
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