Male Death Registration: Year: 1970 number: 1659
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001659
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Rogers, Charles Edgar
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Marble Head, Massachusetts, USA
9. DATE OF BIRTH 7 29, 1905
10. AGE in Years64 Months6 Days8 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ida Rogers
16. NAME of Father Charles Rogers
17. BIRTHPLACE USA
18. NAME of Mother Elizabeth Perry
19. BIRTHPLACE U.S.A
20. Signature of Informant Ida Rogers
address South Ohio, Yarmouth Co
Relationship to deceased Wife
21. Place of burial South Ohio, Yar. Co
Date of burial February 8 1970
22. Undertaker Sweeny Funeral Home Yar
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 6, 1970
CAUSE OF DEATH
(a) Myocardial infraction
(b) Angina pectoris
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486973
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