Female Death Registration: Year: 1971 number: 2185
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002185
1. PLACE OF DEATH County of Yarmouth If in City or Town Kemptville
If death occured in a hospital or institution Main Road, Kemptville (at home)
3. PRINT NAME OF DECEASED Jeffery, Dorcas Alena
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Freeport, Digby County Nova Scotia
9. DATE OF BIRTH 9 18, 1903
10. AGE in Years67 Months5 Days6 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Jeffery
16. NAME of Father Samuel Powell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alena Belle Prime
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John B. Jeffery
address Kemptville, Yar.Co. NS
Relationship to deceased husband
21. Place of burial Kemptville, Yar. Co. NS
Date of burial February 27, 1971
22. Undertaker Sweeney's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 24, 1971
CAUSE OF DEATH
(a) Illegible
(b) Heart Failure
(c)
other Illegible
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494262
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