Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George Emery Jones death at Blairs Lake, Cumberland County on January 8, 1971
Male Death Registration: Year: 1971 number: 2145
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002145
1. PLACE OF DEATH County of Cumberland If in City or Town Blairs Lake
If death occured in a hospital or institution Highway
3. PRINT NAME OF DECEASED Jones, George Emery
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Moncton, New Brunswick
9. DATE OF BIRTH 10 24, 1950
10. AGE in Years20 Months2 Days15 | hrs or mins
11. Trade or profession Employee of Borden Brokers Ltd.
12. Kind of industry
13. Date last worked Jan 8 1971 14. Total years 2 yrs
15. If married name of spouse
16. NAME of Father Norman C. Jones
17. BIRTHPLACE NB
18. NAME of Mother Geneva C. Melvin
19. BIRTHPLACE NB
20. Signature of Informant Mr. Norman Jones
address R.R.6 Moncton, NB
Relationship to deceased Father
21. Place of burial Lakeside Cemetery, Lakeville, NB
Date of burial January 12 1971
22. Undertaker Tuttles Funeral Home, Moncton, NB
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 8, 1971
CAUSE OF DEATH
(a) Awaiting results from post mortem
(b)
(c)
other Accident: car-truck collision
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