Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carl Henry Mosher death at Lunenburg, Lunenburg County on January 27, 1971
Male Death Registration: Year: 1971 number: 1384
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001384
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen Memorial Hospital
3. PRINT NAME OF DECEASED Mosher, Carl Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Bayport
9. DATE OF BIRTH 10 28, 1896
10. AGE in Years74 Months2 Days29 | hrs or mins
11. Trade or profession Retired Captain
12. Kind of industry Canadian Government Public Works (Dredging)
13. Date last worked 1963 14. Total years 30
15. If married name of spouse Jessie Mosher
16. NAME of Father Henry Mosher
17. BIRTHPLACE Bayport
18. NAME of Mother Clara Crouse
19. BIRTHPLACE Crouse Settlement
20. Signature of Informant Florence Logan
address White's Lake, Halifax Co.
Relationship to deceased Daughter
21. Place of burial Bayport Cemetery
Date of burial January 30, 1971
22. Undertaker Dana L. Sweeny Funeral Home Ltd., Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 27, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Coronary thrombosis
(c) Arteriosclerotic Heart Disease
other
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