Male Death Registration: Year: 1970 number: 1327
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001327
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Mental Hospital
3. PRINT NAME OF DECEASED Jewers, Jack
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Ecum Secum, Halifax, Canada
9. DATE OF BIRTH , 1903
10. AGE in Years67 Months Days | hrs or mins
11. Trade or profession Fish factory worker
12. Kind of industry Fishiing
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Jewers
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Halifax Mental Hospital
address 5957 South St. Halifax
Relationship to deceased None
21. Place of burial Dalhousie College
Date of burial January 27, 1970
22. Undertaker Cruickshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 25, 1970
CAUSE OF DEATH
(a) Respiratory Arrest
(b) Pneumonia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486641
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