Male Death Registration: Year: 1970 number: 1306
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001306
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Jollimore, Everett Earl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax County
9. DATE OF BIRTH 12 7, 1900
10. AGE in Years60 Months1 Days18 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Myrtle Smith
16. NAME of Father James Jollimore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie Slaunwhite
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James W Jollimore
address Terence Bay
Relationship to deceased Son
21. Place of burial Terance Bay Halifax Co
Date of burial Jan 28, 1970
22. Undertaker J Albert Walker Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 25, 1970
CAUSE OF DEATH
(a) CA of Colon wide spread 1967-70
(b)
(c)
other none
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486620
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