Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Augustus Crosby death at Yarmouth, Yarmouth County on March 6, 1971
Male Death Registration: Year: 1971 number: 2187
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002187
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Crosby, Charles Augustus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
separated
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 4 9, 1899
10. AGE in Years71 Months10 Days28 | hrs or mins
11. Trade or profession Standard Paving
12. Kind of industry Engineer
13. Date last worked 1968 14. Total years
15. If married name of spouse
16. NAME of Father Delbert Crosby
17. BIRTHPLACE Yarmouth
18. NAME of Mother Mary Elizabeth Muise
19. BIRTHPLACE Quinan
20. Signature of Informant Arnold L. Crosby
address 1 Commercial St., Yarmouth
Relationship to deceased Brother
21. Place of burial Pleasant Valley Cem., Yar. Co, NS
Date of burial March 9, 1971
22. Undertaker H.M. Huskilson's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 6, 1971
CAUSE OF DEATH
(a) Cancer of prostate
(b) Anemia
(c) Metastatic disease
other
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