Female Death Registration: Year: 1970 number: 2785
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002785
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution BEM Hospital
3. PRINT NAME OF DECEASED Davis, Jennifer Patricia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Kentville
9. DATE OF BIRTH 4 2, 70
10. AGE in Years Months Days | 7 hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Kenneth Davis
17. BIRTHPLACE Ontario
18. NAME of Mother Patricia Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Kenneth Davis
address P.O. Box 921, Port Williams
Relationship to deceased Father
21. Place of burial Wolfville
Date of burial April 3, 1970
22. Undertaker HC. Lindsay Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 2, 1970
CAUSE OF DEATH
(a) Diffuse Pulmonary Hemorrhage 778.2
(b) Prematurity 4lb 8oz
(c)
other No Abnormalities
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488097
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