Male Death Registration: Year: 1971 number: 3970
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003970
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Osborne, Everett James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Grand Lake
9. DATE OF BIRTH 9 24, 1907
10. AGE in Years63 Months8 Days21 | hrs or mins
11. Trade or profession Commissionary
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Florence Osborne
16. NAME of Father James Osborne
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Etta
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Peter Smith
address 279 MacLean Street, New Glasgow
Relationship to deceased Daughter
21. Place of burial Hillcrest Memorial Gardens, Lr. Sackville
Date of burial June 17, 1971
22. Undertaker Lindsay's Funeral Home, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 14, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other Cerebral Infarction
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496046
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