Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harvey William Crouse death at Hebbs Cross, Lunenburg County on May 16, 1971
Male Death Registration: Year: 1971 number: 3522
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003522
1. PLACE OF DEATH County of Lunenburg If in City or Town Hebbs Cross
3. PRINT NAME OF DECEASED Crouse, Harvey William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 7, 1886
10. AGE in Years84 Months5 Days9 | 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 Gladys Crouse
16. NAME of Father Albert Crouse
17. BIRTHPLACE NS
18. NAME of Mother Ada Westhaver
19. BIRTHPLACE NS
20. Signature of Informant Mr. Thomas Hebb
address Hebb's Cross.
Relationship to deceased Daughter
21. Place of burial Lapland, Lun. Co.
Date of burial May 19, 1971
22. Undertaker Charles Sweeney, Bridgewater, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 16, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Arteriosclerotic Heart Disease
(c)
other
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