Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Rose Emily Rogers death at Riverton, Pictou County on September 19, 1971

Female Death Registration: Year: 1971 number: 5942

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005942

1. PLACE OF DEATH   County of Pictou If in City or Town Riverton
If death occured in a hospital or institution Glen Haven Manor

3. PRINT NAME OF DECEASED Rogers, Rose Emily

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE England

9. DATE OF BIRTH 8  11, 1891

10. AGE in  Years80  Months1  Days3 | hrs or mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Edward Rogers

16. NAME of Father Matthew Franklin

17. BIRTHPLACE England

18. NAME of Mother Jane Beckett

19. BIRTHPLACE England

20. Signature of Informant Mrs. John S. Martell

      address 528 Merigomish Rd., New Glasgow

      Relationship to deceased sister

21. Place of burial Telford

      Date of burial 21 Sep 1971

22. Undertaker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 19, 1971

CAUSE OF DEATH

(a) myocardial infarction

(b)

(c)

other

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