Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stanley Clifford Jacklin death at Sandy Point, Shelburne County on May 7, 1971
Male Death Registration: Year: 1971 number: 3456
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003456
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Jacklin, Stanley Clifford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 14, 1915
10. AGE in Years55 Months4 Days23 | hrs or mins
11. Trade or profession Taxi driver/laborer
12. Kind of industry
13. Date last worked 1971 14. Total years 2 years
15. If married name of spouse Lois Jacklin
16. NAME of Father Wentworth Jacklin
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Ann Francis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Lois Jacklin
address Shelburne, NS
Relationship to deceased wife
21. Place of burial Pine Grove Cemetery, Shelb. NS
Date of burial May 11, 1971
22. Undertaker Huskilson's Funeral Home, Shelb. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 7, 1971
CAUSE OF DEATH
(a) Acute Cerebral Oedema
(b) Acute Alcoholism
(c)
other
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Note: African Nova Scotian