Female Death Registration: Year: 1971 number: 4807
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004807
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital, Windsor, NS
3. PRINT NAME OF DECEASED Mosher, Annetta Victoria
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Chester Basin
9. DATE OF BIRTH 12 4, 1889
10. AGE in Years81 Months7 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked July 1971 14. Total years 60 yrs
15. If married name of spouse Percy Mosher (deceased)
16. NAME of Father John Clinton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Florence McGinnis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John Mosher
address Falmouth, Hants Co., NS
Relationship to deceased Son
21. Place of burial Maplewood Cemetery, Windsor, NS
Date of burial July 14, 1971
22. Undertaker Lohnes Funeral Service Ltd., Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1971
CAUSE OF DEATH
(a) Bowel Obstruction
(b) Carcinoma of Colon
(c)
other Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496882
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