Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank Everett Jeffery death at Yarmouth, Yarmouth County on January 7, 1971
Male Death Registration: Year: 1971 number: 1167
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001167
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Jeffery, Frank Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 11 11, 1909
10. AGE in Years61 Months1 Days17 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Lillian Marie Jeffery
16. NAME of Father Frank Jeffery
17. BIRTHPLACE Yarmouth
18. NAME of Mother Lottie Lent
19. BIRTHPLACE Yarmouth
20. Signature of Informant John Jeffery
address Overton, Yarmouth Co.
Relationship to deceased son
21. Place of burial Chegoggin, Yar. Co.
Date of burial January 10, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1971
CAUSE OF DEATH
(a) Chronic Pulmonary Emphysema
(b)
(c)
other no
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