Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rose Marie Jeffers death at Parrsboro, Cumberland County on September 3, 1970
Female Death Registration: Year: 1970 number: 5505
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005505
1. PLACE OF DEATH County of Cumberland If in City or Town Parrsboro
If death occured in a hospital or institution Ann's Rest Home
3. PRINT NAME OF DECEASED Jeffers, Rose Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 11, 1887
10. AGE in Years82 Months9 Days23 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1965 14. Total years 60
15. If married name of spouse
16. NAME of Father Alexander Fowler
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Fowler
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Nursing Home Records
address Parrsboro
Relationship to deceased
21. Place of burial Parrsboro
Date of burial September 6, 1970
22. Undertaker S.W. Smith & Son Ltd. Parrsboro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1970
CAUSE OF DEATH
(a) Acute Myocardial Failure
(b)
(c)
other
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