Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jennie Gertrude Inness death at Caledonia, Queens County on May 9, 1970
Female Death Registration: Year: 1970 number: 3337
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003337
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Inness, Jennie Gertrude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Caledonia
9. DATE OF BIRTH 9 15, 1886
10. AGE in Years83 Months7 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housewife
13. Date last worked May 1969 14. Total years
15. If married name of spouse Rdgar J Inness (died)
16. NAME of Father Edward Moore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Middlemus
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jean F Nickerson
address Liverpool
Relationship to deceased Daughter
21. Place of burial Liverpool
Date of burial May 12, 1970
22. Undertaker Chandler's Funeral Service Ltd, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 9, 1970
CAUSE OF DEATH
(a) Uremia
(b) Chronic
(c) Borderline athersclerosis
other
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