Male Death Registration: Year: 1970 number: 4917
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004917
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital, Sydney
3. PRINT NAME OF DECEASED Rogers, Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 5, 1897
10. AGE in Years72 Months11 Days5 | hrs or mins
11. Trade or profession Machinist, Dominion Steel Company
12. Kind of industry
13. Date last worked 1963 14. Total years
15. If married name of spouse Lillian Brimston Rogers
16. NAME of Father William Rogers
17. BIRTHPLACE Halifax
18. NAME of Mother Jean Crey
19. BIRTHPLACE Scotland
20. Signature of Informant William Rogers
address 77 Highland Drive, Antigonish
Relationship to deceased Son
21. Place of burial Hardwood Hill Cemetery, Sydney
Date of burial 12 August 1970
22. Undertaker R. H. Fillmore Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 10, 1970
CAUSE OF DEATH
(a) Mitral Valve Disease and Coronary Insufficiency
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490226
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