Male Death Registration: Year: 1970 number: 7278
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007278
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 Rogers, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English French
7. Single, Married
married
8. BIRTHPLACE Heatherton
9. DATE OF BIRTH 8 2, 1914
10. AGE in Years56 Months4 Days8 | hrs or mins
11. Trade or profession Machine Operator
12. Kind of industry Department of Highways
13. Date last worked September 1970 14. Total years 14
15. If married name of spouse Edna Rogers
16. NAME of Father Clarence Rogers
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marcella Cross
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edna Rogers
address Fraser's Grant
Relationship to deceased Wife
21. Place of burial Heatherton
Date of burial December 13, 1970
22. Undertaker MacIsaac Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 10, 1970
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of pancreas
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492584
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