Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alexander Leroy Jackson death at Halifax, Halifax County on October 30, 1970
Male Death Registration: Year: 1970 number: 6402
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006402
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Jackson, Alexander Leroy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 8 5, 1942
10. AGE in Years28 Months2 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry labour
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alexander Jackson
17. BIRTHPLACE Bridgetown
18. NAME of Mother Nancy Beals
19. BIRTHPLACE North Preston
20. Signature of Informant Mrs. Lilina Jackson
address 2100 Maynard Street, Halifax
Relationship to deceased Wife
21. Place of burial North Preston
Date of burial November 2, 1970
22. Undertaker Snow & Co., Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 30, 1970
CAUSE OF DEATH
(a) Pneumomediastinum
(b) Lower lobe pneumonia with
(c) aseptic empyema and atelectasis
other Alcoholic hepatitis
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