Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jason Mark Herman death at New Glasgow, Pictou County on August 14, 1970
Male Death Registration: Year: 1970 number: 5432
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005432
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Herman, Jason Mark
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 14, 1970
10. AGE in Years Months Days | 4 hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William James Herman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nina Marie Holmes
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William James Herman
address Pine View Crescent, New Glasgow
Relationship to deceased Father
21. Place of burial Holy Name Cemetery, Westville
Date of burial August 15, 1970
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1970
CAUSE OF DEATH
(a) Anoxia neonatorum
(b) Cord tightly around the neck
(c)
other
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