Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick Hilton Jackson death at Middleton, Annapolis County on July 9, 1970
Male Death Registration: Year: 1970 number: 4128
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004128
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Jackson, Frederick Hilton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Inglewood
9. DATE OF BIRTH 9 12, 1907
10. AGE in Years62 Months9 Days27 | hrs or mins
11. Trade or profession
12. Kind of industry Carpenter
13. Date last worked 14. Total years life
15. If married name of spouse Mary Jackson
16. NAME of Father Stephen Frederick Jackson
17. BIRTHPLACE Inglewood
18. NAME of Mother Marie Erickson
19. BIRTHPLACE Stockholm, Sweden
20. Signature of Informant Mrs Mary Jackson
address Inglewood, Anna Co
Relationship to deceased Wife
21. Place of burial Bridgetown
Date of burial July 12 1970
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 9, 1970
CAUSE OF DEATH
(a) Coronary thrombosis
(b)
(c)
other
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