Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Thomas Rogers death at New Haven, Victoria County on December 15, 1970
Male Death Registration: Year: 1970 number: 7499
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007499
1. PLACE OF DEATH County of Victoria If in City or Town New Haven
3. PRINT NAME OF DECEASED Rogers, Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE New Haven
9. DATE OF BIRTH 5 19, 1914
10. AGE in Years56 Months6 Days26 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Labouring
13. Date last worked October 1970 14. Total years 40
15. If married name of spouse
16. NAME of Father Matthew Rogers
17. BIRTHPLACE Newfoundland
18. NAME of Mother Nina Ethel Hawkins
19. BIRTHPLACE Newfoundland
20. Signature of Informant Emily Fitzgerald
address Sugar Loaf
Relationship to deceased Neice
21. Place of burial St. Andrews Cemetery, Neils Harbour
Date of burial December 17, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd. North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 15, 1970
CAUSE OF DEATH
(a) Brochopneumonia
(b)
(c)
other
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