Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Adelaide Veletta Rose death at Halifax, Halifax County on September 23, 1971
Female Death Registration: Year: 1971 number: 5690
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005690
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Rose, Adelaide Veletta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Rose Blanche, NFLD
9. DATE OF BIRTH 7 1, 1890
10. AGE in Years81 Months2 Days22 | hrs or mins
11. Trade or profession House Duties
12. Kind of industry At Home
13. Date last worked Sept. 23 14. Total years 60
15. If married name of spouse Thomas Rose
16. NAME of Father John Herridge
17. BIRTHPLACE Newfoundland
18. NAME of Mother Mary Thomas
19. BIRTHPLACE Newfoundland
20. Signature of Informant John Rose
address 6984 Leffert St., Halifax, NS
Relationship to deceased Son
21. Place of burial St. Johns Cemetery, Halifax, NS
Date of burial Sept 27, 1971
22. Undertaker Cruikshank's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 23, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infartion
(b) Acute Pyelonephritis
(c) Latent Diabetes Millitus
other Bilateral Cataracts
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