Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jessie Campbell death at Parrsboro, Cumberland County on October 1, 1970
Female Death Registration: Year: 1970 number: 5766
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005766
1. PLACE OF DEATH County of Cumberland If in City or Town Parrsboro
If death occured in a hospital or institution South Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED Campbell, Jessie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 4 18, 1888
10. AGE in Years82 Months6 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry Housewife
13. Date last worked 1963 14. Total years 60
15. If married name of spouse Willard Campbell
16. NAME of Father James Matthews
17. BIRTHPLACE Newfoundland
18. NAME of Mother Lydia Davis
19. BIRTHPLACE Newfoundland
20. Signature of Informant Parrsboro South Cumberland Hospital Records
address
Relationship to deceased
21. Place of burial Harold, Ontario
Date of burial 5 Oct 1970
22. Undertaker S W Smith & Son Ltd, Parrsboro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 1, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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