Male Death Registration: Year: 1971 number: 2410
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002410
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Boss, Amos Melburn
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Collingwood
9. DATE OF BIRTH 11 25, 1879
10. AGE in Years91 Months3 Days22 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1956 14. Total years 53 yrs
15. If married name of spouse Laura Boss (deceased)
16. NAME of Father Matthew Boss
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna Baxter
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Melvin S. Boss
address 114 Main Street, Springhill, NS
Relationship to deceased Son
21. Place of burial Springhill, NS
Date of burial March 22, 1971
22. Undertaker A.H. Brown Funeral Service, Ltd, Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 19, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Brain Disease
(b)
(c)
other Fracture of neck of right femur
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494487
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