Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jane Wells Fairn death at Annapolis Royal, Annapolis County on October 2, 1970
Female Death Registration: Year: 1970 number: 5869
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005869
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Wolfes Nursing Home
3. PRINT NAME OF DECEASED Fairn, Jane Wells
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Scotland
9. DATE OF BIRTH 9 8, 1891
10. AGE in Years79 Months0 Days24 | hrs or mins
11. Trade or profession Housekeeping
12. Kind of industry
13. Date last worked 1969 14. Total years 59
15. If married name of spouse
16. NAME of Father Murdo Fraser
17. BIRTHPLACE Scotland
18. NAME of Mother Barbara Wells
19. BIRTHPLACE Scotland
20. Signature of Informant Murdo Fairn
address Annapolis Royal RR#1
Relationship to deceased Son
21. Place of burial Harris Cemetery Moschelle Annapolis County
Date of burial 5 Oct 1970
22. Undertaker Charles Dargie and Son Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Cerebral Arteriosclerosis
(c)
other Diabetes Mellitis
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