Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jennie Amelia Jackson death at Halifax, Halifax County on August 15, 1970
Female Death Registration: Year: 1970 number: 4888
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004888
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Jackson, Jennie Amelia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Woodstock, New Brunswick
9. DATE OF BIRTH 7 16, 1894
10. AGE in Years76 Months Days30 | hrs or mins
11. Trade or profession Registered Nurse
12. Kind of industry
13. Date last worked 1965 14. Total years 45 years
15. If married name of spouse
16. NAME of Father David Jackson
17. BIRTHPLACE New Brunswick
18. NAME of Mother Martha Jane Brewer
19. BIRTHPLACE New Brunswick
20. Signature of Informant Sarah Perry
address 5765 Inglis Street, Halifax
Relationship to deceased Sister
21. Place of burial Woodstock, New Brunswick
Date of burial 18 August 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1970
CAUSE OF DEATH
(a) Pneumonitis
(b) Carcinoma of Lung
(c)
other
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