Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sidney Milton Jeffrey death at Yarmouth, Yarmouth County on April 23, 1970
Male Death Registration: Year: 1970 number: 2952
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002952
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Jeffrey, Sidney Milton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 7, 1915
10. AGE in Years54 Months10 Days16 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked April 18, 1970 14. Total years 36
15. If married name of spouse Nary Jeffrey
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Jeffrey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elsie Goreham
address Woods Harbor
Relationship to deceased Sister
21. Place of burial Lr. Woods Harbour.
Date of burial April 26, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 23, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c)
other
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