Female Death Registration: Year: 1970 number: 2883
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002883
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Jessome, Elizabeth Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 23, 1891
10. AGE in Years78 Months6 Days30 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Coady
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Dunn
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Sylvester Jessome
address Mill Creek
Relationship to deceased Son
21. Place of burial St. Joseph's, Bras d'Or Co.
Date of burial 25 April 1970
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 22, 1970
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other Osteoarthritis, Cachexia and bed sores
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488195
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