Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jules Alphonse Nickerson death at Yarmouth, Yarmouth County on June 26, 1971
Male Death Registration: Year: 1971 number: 4095
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004095
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
3. PRINT NAME OF DECEASED Nickerson, Jules Alphonse
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Wedgeport, Yar. County Nova Scotia
9. DATE OF BIRTH 11 8, 1941
10. AGE in Years29 Months7 Days18 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Hazel Nickerson
16. NAME of Father Durwood Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marie Cottreau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Hazel Nickerson
address Sandford, Yarmouth Co. NS
Relationship to deceased Wife
21. Place of burial Yarmouth, NS
Date of burial June 28, 1971
22. Undertaker Sweeny's Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1971
CAUSE OF DEATH
(a) Fractured Cervical Area
(b)
(c)
other Accident: Passenger in car that hit a power pole
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