Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Vincent Jessome death at North Sydney, Cape Breton County on January 10, 1971
Male Death Registration: Year: 1971 number: 1216
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001216
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 Jessome, William Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 15, 1887
10. AGE in Years83 Months3 Days26 | hrs or mins
11. Trade or profession Retired miner
12. Kind of industry Coal mine
13. Date last worked August 1940 14. Total years 26
15. If married name of spouse Teresa Jessome
16. NAME of Father Thomas Jessome
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Devoe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Teresa Jesesome
address Bras d'Or
Relationship to deceased Wife
21. Place of burial St. Joseph's, Bras d'Or
Date of burial 13 January 1971
22. Undertaker George R. Frances, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerosis
(c)
other
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