Male Death Registration: Year: 1970 number: 1099
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001099
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Rodgers, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Eastern Passage
9. DATE OF BIRTH 9 15, 1884
10. AGE in Years85 Months3 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1963 14. Total years
15. If married name of spouse Anastasia Hennaberry
16. NAME of Father John Francis Rodgers
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Frances Cleary
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. J. C. Londey
address 2415 Barrington St., Halifax
Relationship to deceased Daughter
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial Jan 9 1970
22. Undertaker J Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Bowel obstruction
(c) Fluid electrolyte imbalance fluid
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486413
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