Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jason Andrew Yeamans death at Halifax, Halifax County on July 11, 1970
Male Death Registration: Year: 1970 number: 4270
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004270
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Isaac Walton Killam Hospital
3. PRINT NAME OF DECEASED Yeamans, Jason Andrew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English/German
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 11, 1970
10. AGE in Years Months Days | 18 hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Thomas Yeamans
17. BIRTHPLACE New Brunswick
18. NAME of Mother Isabel Amy Donald
19. BIRTHPLACE New Brunswick
20. Signature of Informant George T. Yeamans
address 217 Pleasant Street, Summerside, Prince Edward Island
Relationship to deceased Father
21. Place of burial Summerside, Prince Edward Island
Date of burial July 17 1970
22. Undertaker Warren T. Roop Ltd, Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1970
CAUSE OF DEATH
(a) hyline Membrane Disease
(b)
(c)
other
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