Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Ezra Jeffrey death at Yarmouth, Yarmouth County on July 11, 1970
Male Death Registration: Year: 1970 number: 4491
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004491
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Jeffrey, James Ezra
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 13, 1895
10. AGE in Years74 Months8 Days28 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked April 1970 14. Total years 60
15. If married name of spouse Hattie Jeffrey
16. NAME of Father Elijah Jeffrey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Woodrow Jeffrey
address Woods Harbor, Shel Co
Relationship to deceased Son
21. Place of burial Upper Woods Harbor
Date of burial 13 July 1970
22. Undertaker Kenney Funeral Service, Barrington, Shel Co
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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