Male Death Registration: Year: 1971 number: 3211
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003211
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermens Memorial Hospital
3. PRINT NAME OF DECEASED Mosher, Robert Sinclair
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Upper Kingsburg
9. DATE OF BIRTH 12 31, 1894
10. AGE in Years76 Months3 Days29 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry Fishing
13. Date last worked 1964 14. Total years 47
15. If married name of spouse Ethel May Mosher
16. NAME of Father Lemuel Mosher
17. BIRTHPLACE Upper Kingsburg
18. NAME of Mother Dorinda Corkum
19. BIRTHPLACE Pheasantville, NS
20. Signature of Informant Ethel Mosher
address Upper Kingsburg, Lun. Co. NS
Relationship to deceased wife
21. Place of burial Upper Kingsburg, NS
Date of burial May 1, 1971
22. Undertaker Sweeneys Funeral Home Ltd. Lunenburg, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 29, 1971
CAUSE OF DEATH
(a) Cerebral Haemorrhage
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495287
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