Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rosina Schokatz death at 50 Poplar St., Amherst, Cumberland County on January 30, 1970
Female Death Registration: Year: 1970 number: 1857
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001857
1. PLACE OF DEATH County of Cumberland If in City or Town 50 Poplar St., Amherst
3. PRINT NAME OF DECEASED Schokatz, Rosina
4. Sex
Female
5. Citizenship
German
6. Racial Origin
Yugoslavian
7. Single, Married
married
8. BIRTHPLACE Yugoslavia
9. DATE OF BIRTH 1 23, 1925
10. AGE in Years45 Months0 Days7 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 2 days ago 14. Total years life
15. If married name of spouse John S. Schokatz
16. NAME of Father Otto Awemaria
17. BIRTHPLACE Yugoslavia
18. NAME of Mother Katherine Yaiter
19. BIRTHPLACE Yugoslavia
20. Signature of Informant John Schokatz
address 50 Poplar St, Amherst
Relationship to deceased Husband
21. Place of burial Amherst
Date of burial Feb, 2nd, 1970
22. Undertaker Furlong's Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 30, 1970
CAUSE OF DEATH
(a) virus pneumonia
(b)
(c)
other obliterative [pelvic?] adhesions Large liver - source fatty change
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