Male Death Registration: Year: 1970 number: 6944
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006944
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Rouse, Harry James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Wuster, England
9. DATE OF BIRTH 7 2, 1900
10. AGE in Years70 Months4 Days16 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 1960 14. Total years 40
15. If married name of spouse Kathleen
16. NAME of Father James Rouse
17. BIRTHPLACE England
18. NAME of Mother Fanning Rouse
19. BIRTHPLACE England
20. Signature of Informant Mrs. Frederick Ryan
address Port Hawkesbury
Relationship to deceased Daughter
21. Place of burial River Denys
Date of burial Nov 21, 1970
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 18, 1970
CAUSE OF DEATH
(a) Acute Heart Failure
(b) Myocardial Infarction
(c) Coronary Artery Thrombosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492251
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