Male Death Registration: Year: 1970 number: 4847
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004847
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 Jenkins, Ivan Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Cape Forchu
9. DATE OF BIRTH 12 20, 1896
10. AGE in Years73 Months7 Days16 | hrs or mins
11. Trade or profession Painter
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Sarah Elizabeth Jenkins
16. NAME of Father Charles Jenkins
17. BIRTHPLACE England
18. NAME of Mother Alice Doane
19. BIRTHPLACE Cape Forchu
20. Signature of Informant Mrs Wm Robicheau
address 77 King St, Yarmouth
Relationship to deceased Daughter
21. Place of burial Mountain Cemetery, Yarmouth
Date of burial 9 Aug 1970
22. Undertaker Huskilson's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 5, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490156
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