Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John David Ross death at Middle Musquodoboit, Halifax County on August 22, 1971
Male Death Registration: Year: 1971 number: 5371
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005371
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodoboit
If death occured in a hospital or institution Musquodoboit Valley Memorial Hospital
3. PRINT NAME OF DECEASED Ross, John David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Musquodoboit Valley, Halifax County
9. DATE OF BIRTH 2 24, 1882
10. AGE in Years89 Months5 Days29 | hrs or mins
11. Trade or profession Retired Farmer
12. Kind of industry
13. Date last worked 1950 14. Total years life
15. If married name of spouse Annie Mae Dean (deceased)
16. NAME of Father Daniel Ross
17. BIRTHPLACE Middle River, Pictou Co., NS
18. NAME of Mother Jane Reid
19. BIRTHPLACE Upper Musquodoboit
20. Signature of Informant Clyde Ross
address Dartmouth
Relationship to deceased Son
21. Place of burial Dean Settlement
Date of burial Aug 25, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 22, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Renal Failure
(c) Chronic Congestive Failure
other
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