Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellen Amelia Jackson death at Amherst, Cumberland County on April 9, 1970
Female Death Registration: Year: 1970 number: 2613
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002613
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Jackson, Ellen Amelia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Bristol, England
9. DATE OF BIRTH 11 9, 1891
10. AGE in Years78 Months5 Days0 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked April 7, 1970 14. Total years life
15. If married name of spouse George W. Jackson
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Douglas Haynes
address RR #2 Amherst
Relationship to deceased Son-in-law
21. Place of burial Trnville, Amherst
Date of burial April 11, 1970
22. Undertaker Furlong's Funeral Home, Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1970
CAUSE OF DEATH
(a) Peritonitis
(b) Hernia umbilical Strangulater
(c)
other age
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