Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jeremiah Holland death at Halifax, Halifax County on January 25, 1971
Male Death Registration: Year: 1971 number: 1319
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001319
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Basin View Nursing Home
3. PRINT NAME OF DECEASED Holland, Jeremiah
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Halifax County
9. DATE OF BIRTH 2 27, 1883
10. AGE in Years87 Months10 Days29 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Jerry Holland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ellen Flemming
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. E. Welcher
address 1739 Brunswick St., Hfx.
Relationship to deceased Friend
21. Place of burial St. Peter's Cem., Dart.
Date of burial January 28, 1971
22. Undertaker Snow & Co., Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 25, 1971
CAUSE OF DEATH
(a) A.S.H.D.
(b) senility (advanced)
(c)
other herpes zoster
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