Male Death Registration: Year: 1971 number: 2836
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002836
1. PLACE OF DEATH County of Halifax If in City or Town at sea
If death occured in a hospital or institution Fishing Trawler "Surge" (N.S. Registry)
3. PRINT NAME OF DECEASED Jarrett, Sidney Raymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Digby
9. DATE OF BIRTH 10 21, 1932
10. AGE in Years39 Months5 Days9 | hrs or mins
11. Trade or profession Seaman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ralph Jarrett
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Frances Jane Thibeau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Harry Payzant
address Falmouth, Hants Co. NS
Relationship to deceased Mother
21. Place of burial Maplewood Cemetery, Windsor
Date of burial April 3, 1971
22. Undertaker Lindsay Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1971
CAUSE OF DEATH
(a) toxicity to unknown material or materials
(b) probably vanilla extract
(c)
other Accident
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494913
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