Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Mason Crowell death at Beaverbank, Halifax County on November 5, 1971
Male Death Registration: Year: 1971 number: 6636
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006636
1. PLACE OF DEATH County of Halifax If in City or Town Beaverbank
If death occured in a hospital or institution Scotia Nursing Home
3. PRINT NAME OF DECEASED Crowell, John Mason
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
single
8. BIRTHPLACE Shelburne
9. DATE OF BIRTH 1 3, 1906
10. AGE in Years65 Months10 Days2 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1969 14. Total years 20
15. If married name of spouse Single
16. NAME of Father Colin Crowell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Miller
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Burton Crowell Sr.
address Island Park Rd, Shelburne
Relationship to deceased Brother
21. Place of burial Pine Grove Cemetery, Shelburne
Date of burial 08 Nov 1971
22. Undertaker Huskilson's Funeral, Shelburne, Per Willard Holmes
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 5, 1971
CAUSE OF DEATH
(a) Carcinoma Lung
(b)
(c)
other
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