Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank William Jackson death at Antigonish, Antigonish County on May 13, 1970
Male Death Registration: Year: 1970 number: 3440
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003440
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St Martha's Hospital
3. PRINT NAME OF DECEASED Jackson, Frank William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 14, 1888
10. AGE in Years81 Months4 Days30 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Construction
13. Date last worked 1959 14. Total years 50
15. If married name of spouse Haddie Paris
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Sarah Borden
address Lower South River, Ant. Co
Relationship to deceased Legal Guardian
21. Place of burial First Baptish Church Cemetery, Monastery
Date of burial May 16, 1970
22. Undertaker Curry's Funeral Parlor, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 13, 1970
CAUSE OF DEATH
(a) Cardio Disease Coronary thrombosis sudden death
(b)
(c)
other
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