Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Louise Jefferson death at Pictou, Pictou County on July 28, 1970
Female Death Registration: Year: 1970 number: 5152
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005152
1. PLACE OF DEATH County of Pictou If in City or Town Pictou
If death occured in a hospital or institution IOOF Home
3. PRINT NAME OF DECEASED Jefferson, Mary Louise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 9, 1876
10. AGE in Years93 Months11 Days19 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Reginald Jefferson
16. NAME of Father Gilliatt
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant George Ross
address Pictou
Relationship to deceased
21. Place of burial Haliburton Cemetery, Pictou
Date of burial July 30, 1970
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 28, 1970
CAUSE OF DEATH
(a) ASHD
(b)
(c)
other
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