Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Alfred Jacquard death at Yarmouth, Yarmouth County on June 16, 1971

Male Death Registration: Year: 1971 number: 4073

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004073

1. PLACE OF DEATH   County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital

3. PRINT NAME OF DECEASED Jacquard, Alfred

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Comeau Hill

9. DATE OF BIRTH 2  21, 1889

10. AGE in  Years82  Months3  Days23 | hrs or mins

11. Trade or profession Fisherman

12. Kind of industry

13. Date last worked 1968       14. Total years

15. If married name of spouse Mary Eliza Jacquard

16. NAME of Father Robert Jacquard

17. BIRTHPLACE Comeau Hill, NS

18. NAME of Mother Elizabeth Saulnier

19. BIRTHPLACE Comeau Hill, NS

20. Signature of Informant Mrs. Mary Eliza Jacquard

      address Comeau Hill, Yar. Co., NS

      Relationship to deceased Wife

21. Place of burial Comeau Hill

      Date of burial June 19, 1971

22. Undertaker H. M. Huskilsons Funeral Home, Albert Street, Yarmouth, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 16, 1971

CAUSE OF DEATH

(a) Cirrhosis of LIver

(b) Pancreatic attack enzymes

(c) Diabetes

other Arterial Hypertension

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496148

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