Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie MacKay Jones death at Shelburne, Shelburne County on January 20, 1970
Female Death Registration: Year: 1970 number: 1293
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001293
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
If death occured in a hospital or institution 1 Main Street, Shelburne
3. PRINT NAME OF DECEASED Jones, Annie MacKay
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish & Welsh
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 2, 1886
10. AGE in Years83 Months6 Days18 | hrs or 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 William Henry Jones
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Olivia MacKay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Sadie B. Jones
address Shelburne
Relationship to deceased Sister
21. Place of burial Pine Grace Cemetery Shelburne
Date of burial January 22, 1970
22. Undertaker Huskilson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1970
CAUSE OF DEATH
(a) A.S.H.D.
(b)
(c)
other
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