Female Death Registration: Year: 1971 number: 4666
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004666
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED Jardine, Marie Jean
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 8 19, 1916
10. AGE in Years54 Months11 Days5 | hrs or mins
11. Trade or profession House Duties
12. Kind of industry
13. Date last worked 1971 14. Total years
15. If married name of spouse
16. NAME of Father Robert Irvine
17. BIRTHPLACE NB
18. NAME of Mother Mary Mader
19. BIRTHPLACE NB
20. Signature of Informant Mr. J. Jardine
address 118 Jeffery St., Dartmouth
Relationship to deceased Son
21. Place of burial Richibucto, NB
Date of burial July 27, 1971
22. Undertaker Mattatall Funeral Home, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 23, 1971
CAUSE OF DEATH
(a) Myocarditis with Failure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496741
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