Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jean Langille Nickerson death at Yarmouth, Yarmouth County on April 25, 1970
Female Death Registration: Year: 1970 number: 3049
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003049
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 Nickerson, Jean Langille
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 15, 1898
10. AGE in Years71 Months4 Days10 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked April 23, 1970 14. Total years 48
15. If married name of spouse Frederick T. Nickerson
16. NAME of Father James Langille
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Vincent Shand
address Clarks Harbor
Relationship to deceased Daughter
21. Place of burial Clarks Harbor
Date of burial 28 Apr 1970
22. Undertaker Per T.Q.K. Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 25, 1970
CAUSE OF DEATH
(a) acute myocardiac infarct.
(b) coronary atherosclerosis of long standing
(c)
other
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