Female Death Registration: Year: 1970 number: 5351
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005351
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital, Halifax
3. PRINT NAME OF DECEASED Messervey, Jane Ingraham
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sussex, New Brunswick
9. DATE OF BIRTH 10 19, 1900
10. AGE in Years69 Months10 Days21 | hrs or mins
11. Trade or profession Houseduties
12. Kind of industry Home
13. Date last worked July 4, 1970 14. Total years 40
15. If married name of spouse Frederick Read Messervey
16. NAME of Father William Hunter
17. BIRTHPLACE New Brunswick
18. NAME of Mother Minnie Fawcett
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs Frederick R. Messervey
address 6292 Willow St, Halifax
Relationship to deceased Wife
21. Place of burial Camp Hill Cemetery, Halifax,
Date of burial September 11, 1970
22. Undertaker Cruickshank Funeral Home Ltd, Halifax,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 9, 1970
CAUSE OF DEATH
(a) Cerebral hemorrhage
(b) Previous ceribra hemorrhage
(c) Anteusclerns hypertension
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490659
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