Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Marie Roache death at Sable River, Shelburne County on January 16, 1970
Female Death Registration: Year: 1970 number: 1290
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001290
1. PLACE OF DEATH County of Shelburne If in City or Town Sable River
If death occured in a hospital or institution Sable River Nursing Home
3. PRINT NAME OF DECEASED Roache, Annie Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 13, 1870
10. AGE in Years99 Months4 Days3 | hrs or mins
11. Trade or profession Seamstress
12. Kind of industry
13. Date last worked 1938 14. Total years
15. If married name of spouse
16. NAME of Father Jim Roache
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Barclay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Stillman Wolfe
address Lockeport
Relationship to deceased Niece
21. Place of burial Lockport Cemetery, Lockport
Date of burial 1970 January 19
22. Undertaker Huskilsons Funeral Home, Lockport
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1970
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other
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