Male Death Registration: Year: 1971 number: 5713
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005713
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Rose, Cecil
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 5 26, 1906
10. AGE in Years65 Months4 Days3 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse Hilda
16. NAME of Father Kenneth Rose
17. BIRTHPLACE Newfoundland
18. NAME of Mother Dinah Savory
19. BIRTHPLACE Newfoundland
20. Signature of Informant William Henberry
address 83 Bellvista Dr, Dartmouth, NS
Relationship to deceased Son-in-law
21. Place of burial Marie Joseph, Nova Scotia
Date of burial October 2, 1971
22. Undertaker Veinotte & Sons Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1971
CAUSE OF DEATH
(a) Myocardial Infarct - 3 wks
(b)
(c)
other pneumothorax
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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