Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Thomas Warren Jollymore death at Caledonia, Queens County on November 25, 1970
Male Death Registration: Year: 1970 number: 6889
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006889
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home Inc.
3. PRINT NAME OF DECEASED Jollymore, Thomas Warren
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 16, 1916
10. AGE in Years54 Months3 Days9 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Lois Jollymore
16. NAME of Father Harry Jollymore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Joudrey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Lois Jollymore
address Middle River
Relationship to deceased Wife
21. Place of burial Chester Basin
Date of burial Nov. 28, 1970
22. Undertaker Davis Funeral Home, Chester
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1970
CAUSE OF DEATH
(a) Septicaemia
(b) Severe organic brain damage
(c) Huntingtons chorea
other
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