Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank Gordon Mouzar death at Liverpool, Queens County on September 16, 1970
Male Death Registration: Year: 1970 number: 5556
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005556
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Fahie's Nursing Home
3. PRINT NAME OF DECEASED Mouzar, Frank Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Beach Meadows
9. DATE OF BIRTH 9 28, 1904
10. AGE in Years65 Months11 Days19 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Tin Smith, Bowaters Mersey Paper Co
13. Date last worked April 1968 14. Total years
15. If married name of spouse Myrtle Helena Mouzar
16. NAME of Father Joseph Mouzar
17. BIRTHPLACE Beach Meadows
18. NAME of Mother Bertha Corkum
19. BIRTHPLACE Beach Meadows
20. Signature of Informant Myrtle H. Mauzar
address Bristol Ave., Liverpool
Relationship to deceased wife
21. Place of burial Liverpool
Date of burial September 18, 1970
22. Undertaker Chandlers Funeral Service Ltd, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 16, 1970
CAUSE OF DEATH
(a) Cerebral arteriosclerosis
(b) C.V.A.
(c) G.U. Tract infection
other
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