Female Death Registration: Year: 1970 number: 3684
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003684
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge, Bridgetown
3. PRINT NAME OF DECEASED Jackson, Mary Alice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE West Dalhousie
9. DATE OF BIRTH 8 7, 1880
10. AGE in Years89 Months9 Days20 | hrs or mins
11. Trade or profession
12. Kind of industry Hotel Hostess
13. Date last worked 14. Total years 60
15. If married name of spouse
16. NAME of Father Christopher Jackson
17. BIRTHPLACE West Dalhousie
18. NAME of Mother Martha Ann Buckler.
19. BIRTHPLACE West Dalhousie
20. Signature of Informant Gladys Eby
address Lawrencetown
Relationship to deceased Sister
21. Place of burial West Dalhousie, Anna.
Date of burial May 29, 1970
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Cancer of Uterus
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488994
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