Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jennie Johnstone Jackson death at Mahone Bay, Lunenburg County on March 7, 1970
Female Death Registration: Year: 1970 number: 2166
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002166
1. PLACE OF DEATH County of Lunenburg If in City or Town Mahone Bay
If death occured in a hospital or institution Mahone Nursing Home
3. PRINT NAME OF DECEASED Jackson, Jennie Johnstone
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Saint John, New Brunswick
9. DATE OF BIRTH 12 28, 1882
10. AGE in Years87 Months2 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Maxwell
17. BIRTHPLACE Saint John, New Brunswick
18. NAME of Mother Carolyn McIntyre
19. BIRTHPLACE Saint John, New Brunswick
20. Signature of Informant Ralph E. Jackson
address 3816 Basinview Dr., Halifax
Relationship to deceased son
21. Place of burial Saint John, New Brunswick
Date of burial March 10, 1970
22. Undertaker Mahone Funeral Service, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1970
CAUSE OF DEATH
(a) Gastrointestinal hemorrhage?
(b)
(c)
other Presumptive cancer body of uterus
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