Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jennie Maude Wagner death at Hebron, Yarmouth County on March 22, 1970
Female Death Registration: Year: 1970 number: 2538
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002538
1. PLACE OF DEATH County of Yarmouth If in City or Town Hebron
If death occured in a hospital or institution Dorden's Rest Home
3. PRINT NAME OF DECEASED Wagner, Jennie Maude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 11 15, 1881
10. AGE in Years88 Months4 Days7 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Wallace Blauvelt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eve Gavel
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Hilda M. Porter
address Glenwood
Relationship to deceased Daughter
21. Place of burial Carleton
Date of burial March 25, 1970
22. Undertaker Sweeny Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 22, 1970
CAUSE OF DEATH
(a) Cerebral accident
(b)
(c)
other
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