Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Roach death at New Waterford, Cape Breton County on June 3, 1970
Male Death Registration: Year: 1970 number: 3703
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003703
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Consolidated Hospital
3. PRINT NAME OF DECEASED Roach, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Cheticamp
9. DATE OF BIRTH 9 8, 1906
10. AGE in Years63 Months8 Days26 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Emile Roach
17. BIRTHPLACE Cheticamp
18. NAME of Mother Clotilde Gaudet.
19. BIRTHPLACE Cheticamp
20. Signature of Informant Mrs Bella Dervelle
address Scotchtown. C.B.
Relationship to deceased Sister
21. Place of burial St. Agnes Cemetery. New Waterford.
Date of burial June 6th. 1970
22. Undertaker V. J. McGillivray Funeral Homes Limited New Waterford.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1970
CAUSE OF DEATH
(a) Massive Upper Gastro-intestinal Bleeding
(b)
(c)
other Cirrhosis of Liver & Hepatoma
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