Male Death Registration: Year: 1971 number: 6435
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006435
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 Nogler, Carroll Jon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
single
8. BIRTHPLACE Middleton, Annapolis County
9. DATE OF BIRTH 12 20, 1952
10. AGE in Years18 Months10 Days16 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1 October 1971 14. Total years 1 year
15. If married name of spouse
16. NAME of Father Earl Gordon Nogler
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Virginia Freeman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Virginia Nogler
address Margaretville, Annapolis Co., NS
Relationship to deceased Mother
21. Place of burial Nictaux, Annapolis Co., NS
Date of burial 7 November 1971
22. Undertaker Warren T. Roop Ltd., Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 5, 1971
CAUSE OF DEATH
(a) Multiple injuries sustained in motor vehicle accident
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498508
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