Female Death Registration: Year: 1971 number: 4154
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004154
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Rogers, Lillian Fowler
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 13, 1880
10. AGE in Years91 Months3 Days8 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1942 14. Total years 30 yrs
15. If married name of spouse Benjamin Theodore Rogers
16. NAME of Father Amos Mills Hunter
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nancy Giles
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Lillian H. Matthews
address 16 McGee St, Springhill, NS
Relationship to deceased Niece
21. Place of burial Windham, Cumb. Co., NS
Date of burial June 23, 1971
22. Undertaker A. H. Brown Funeral Service Ltd. Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Brain Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496229
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