Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mark Alexander Rose death at Frasers Mountain, Pictou County on March 27, 1971
Male Death Registration: Year: 1971 number: 2661
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002661
1. PLACE OF DEATH County of Pictou If in City or Town Frasers Mountain
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Rose, Mark Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 1 18, 1971
10. AGE in Years Months2 Days9 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Lloyd Rose
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marjorie Francis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Lloyd Rose
address Fraser's Mtn. Pictou Co. N.S.
Relationship to deceased Father
21. Place of burial Lourdes Cemetrery, Pictou Co. N.S.
Date of burial March 29, 1971
22. Undertaker R. H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 27, 1971
CAUSE OF DEATH
(a) Pulmonary Obstruction
(b) Aspiration Mucous
(c)
other
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