Male Death Registration: Year: 1971 number: 1556
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001556
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 Grosse, James Ossley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 21, 1898
10. AGE in Years72 Months7 Days19 | hrs or mins
11. Trade or profession retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Hannah Grosse
16. NAME of Father James Grosse
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Kelly
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Hannah Grosse
address Cherry Brook
Relationship to deceased wife
21. Place of burial Dartmouth Memorial Gardens
Date of burial February 12, 1971
22. Undertaker Mattatall Funeral Services Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1971
CAUSE OF DEATH
(a) pneumonia
(b) RHD with MS-AS AI
(c)
other
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493634
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