Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Noble W. Jackson death at Middleton, Annapolis County on June 4, 1971
Male Death Registration: Year: 1971 number: 3851
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003851
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Jackson, Noble W.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Millville, Kings County Nova Scotia
9. DATE OF BIRTH 6 25, 1892
10. AGE in Years78 Months11 Days9 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Margaret McNomll
16. NAME of Father Jacob Jackson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Palmer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Bernard Jackson
address Auburn, Kings Co. NS
Relationship to deceased Son
21. Place of burial Aylesford, NS
Date of burial June 7, 1971
22. Undertaker H.C. Lindsay Funeral Homes Ltd, Berwick, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 4, 1971
CAUSE OF DEATH
(a) Cardiovascular Disease
(b)
(c)
other
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