Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jessie Elizabeth Baker Collins death at Dartmouth, Halifax County on June 13, 1971
Female Death Registration: Year: 1971 number: 3926
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003926
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Collins, Jessie Elizabeth Baker
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Burin, Newfoundland
9. DATE OF BIRTH 8 13, 1903
10. AGE in Years67 Months10 Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Edward Collins
17. BIRTHPLACE Newfoundland
18. NAME of Mother Mary Ann Baker
19. BIRTHPLACE Newfoundland
20. Signature of Informant Miss Emmie Collins
address 3 Elmwood Ave, Dartmouth
Relationship to deceased Sister
21. Place of burial Mt. Herman Cemetery, Dartmouth
Date of burial June 16, 1971
22. Undertaker A.L. Mattatall Funeral Services Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1971
CAUSE OF DEATH
(a) Carcinoma of Breast metastatic
(b)
(c)
other
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