Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rogers death at Wolfville, Kings County on November 24, 1971
Male Death Registration: Year: 1971 number: 7306
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007306
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Eastern Kings Memorial Hospital
3. PRINT NAME OF DECEASED Rogers,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
single
8. BIRTHPLACE Wolfeville, Kings
9. DATE OF BIRTH 11 24, 1971
10. AGE in Years Months0 Days0 | 0 hrs or 45 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Burpee Rogers
17. BIRTHPLACE Wolfeville
18. NAME of Mother Joy Caldwell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Burpee Rogers
address Spinner's Hill, Wolfeville, NS
Relationship to deceased Father
21. Place of burial Willow Bank, Wolfeville, NS
Date of burial 11/28/1971
22. Undertaker H.C. Lindsay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 24, 1971
CAUSE OF DEATH
(a) Premature Birth
(b) Premature Rupture of Membranes
(c)
other
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