Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jerome Ernest Wilson death at North Sydney, Cape Breton County on December 1, 1970
Male Death Registration: Year: 1970 number: 6959
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006959
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Wilson, Jerome Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 4 8, 1898
10. AGE in Years72 Months7 Days23 | hrs or mins
11. Trade or profession Stevadore
12. Kind of industry Stevadoring
13. Date last worked 1954 14. Total years
15. If married name of spouse Lenora LeMoine
16. NAME of Father Alan Wilson
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Mary Ann Pushie
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Mrs. Benjamin Fudge
address Louisbourg
Relationship to deceased Daughter
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial December 3, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd. North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 1, 1970
CAUSE OF DEATH
(a) Uraemia
(b) Cerebral vascular
(c)
other
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