Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kelly Ann Jeffery death at Yarmouth, Yarmouth County on May 16, 1970
Female Death Registration: Year: 1970 number: 3552
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003552
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Jeffery, Kelly Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 5 13, 1970
10. AGE in Years Months Days3 | hrs or mins
11. Trade or profession Baby
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Kenneth Ritchie Jeffery
17. BIRTHPLACE Pleasant Lake
18. NAME of Mother Winnifred Etta Nickerson
19. BIRTHPLACE Yarmouth
20. Signature of Informant Kenneth R Jeffery
address Pleasant Lake, Yarmouth Co
Relationship to deceased Father
21. Place of burial Pleasant Lake, Yar. Co
Date of burial May 16, 1970
22. Undertaker Sweeny Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 16, 1970
CAUSE OF DEATH
(a) Erythroblastosis Fetalis
(b)
(c)
other
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