The parents of James Joseph are given on his marriage registration to Grace Horne (NS Vital Stat site) as George and Mary. All this confirms what is on his deathcertificate. Annie Horne gives her address as the same as James and Grace so she was probably a boarder or maybe domestic help. James "cause of death" was some kind of brain problem (difficult to decipher) with complications arrising from middle ear disease. Maybe this Annie was there to help with nursing care.