Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rachael Louise Mosher death at Lunenburg, Lunenburg County on April 4, 1971
Female Death Registration: Year: 1971 number: 3069
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003069
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fisherman’s Memorial Hospital
3. PRINT NAME OF DECEASED Mosher, Rachael Louise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Western Shore
9. DATE OF BIRTH 7 13, 1903
10. AGE in Years67 Months8 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse
16. NAME of Father Philip Kaizer
17. BIRTHPLACE Gold River
18. NAME of Mother Mary Mosher
19. BIRTHPLACE Western Shore
20. Signature of Informant Roy Mosher
address Western Shore, Lun. Co. NS
Relationship to deceased Son
21. Place of burial Western Shore
Date of burial April 7, 1971
22. Undertaker Mahoney Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 4, 1971
CAUSE OF DEATH
(a) Hepatic coma
(b) Cirrhosis of liver
(c)
other Bronchopneumonia
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