Male Death Registration: Year: 1971 number: 5309
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005309
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 66-1/2 Sunnybrae Ave.
3. PRINT NAME OF DECEASED Rose, James Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 17, 1910
10. AGE in Years60 Months9 Days13 | hrs or mins
11. Trade or profession Tax Dept.
12. Kind of industry City Hall
13. Date last worked Jan. 1971 14. Total years 16
15. If married name of spouse Stella Keeler
16. NAME of Father James Rose
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Blanche Beazley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Stella Rose
address 66-1/2 Sunnybrae Ave., Halifax
Relationship to deceased Wife
21. Place of burial Fairview Cem., Hfx.
Date of burial Aug 2, 1971
22. Undertaker Lindsay's Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 30, 1971
CAUSE OF DEATH
(a) Hepatic Failure
(b) Carcinoma Pancreas
(c) Widespread Metastases
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497383
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