Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rosella Grace Upham death at Garden Lots, Lunenburg County on February 15, 1971
Female Death Registration: Year: 1971 number: 1921
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001921
1. PLACE OF DEATH County of Lunenburg If in City or Town Garden Lots
If death occured in a hospital or institution At home
3. PRINT NAME OF DECEASED Upham, Rosella Grace
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Back Centre, Lun. County
9. DATE OF BIRTH 3 13, 1908
10. AGE in Years62 Months11 Days2 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At Home
13. Date last worked 14. Total years
15. If married name of spouse George Upham
16. NAME of Father Teman Jenning
17. BIRTHPLACE First South, Lun Co.
18. NAME of Mother Ella Zink
19. BIRTHPLACE Crouse Settlement
20. Signature of Informant Mrs. Albert Allen
address Back Centre, Lun. Co. N.S.
Relationship to deceased Sister
21. Place of burial First South, Lun. Co. N.S.
Date of burial February 18, 1971
22. Undertaker Dana L. Sweeny Funeral Home L.D. Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 15, 1971
CAUSE OF DEATH
(a) Ca of Rectum
(b)
(c)
other Cachexia
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