Male Death Registration: Year: 1971 number: 4432
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004432
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Digby General Hospital
3. PRINT NAME OF DECEASED Cossitt, Ralph Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Smiths Cove
9. DATE OF BIRTH 10 17, 1879
10. AGE in Years91 Months8 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 14. Total years
15. If married name of spouse Mabel Sulis
16. NAME of Father George Cossitt
17. BIRTHPLACE NS
18. NAME of Mother Augusta Chute
19. BIRTHPLACE NS
20. Signature of Informant Isabel Cossitt
address Smiths Cove, NS
Relationship to deceased Daughter
21. Place of burial Smiths Cove, NS
Date of burial July 14, 1971
22. Undertaker Jayne's Funeral Home Ltd., Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) previous Myocardial Infarction
(c) Generalized Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496507
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