Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jessome death at Sydney Mines, Cape Breton County on March 5, 1970
Male Death Registration: Year: 1970 number: 2247
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002247
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
3. PRINT NAME OF DECEASED Jessome,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 5, 1970
10. AGE in Years Months Days | 4 hrs or 20 mins
11. Trade or profession Baby
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Wilfred Jessome
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Georgina Bungay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Wilfred Jessome
address RR#2 Bras D'Or
Relationship to deceased Father
21. Place of burial St Josephs Bras D'Or
Date of burial Mar 5th 1970
22. Undertaker George B Francis Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 5, 1970
CAUSE OF DEATH
(a) Anoxia
(b)
(c)
other
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